Deborah Madelon

Medical Physician Assistant · Melbourne, FL

Individual Active NPI

NPI number 1114506672

Practice location

1350 Hickory St
Melbourne, FL 32901-3224
Phone
(317) 805-4102

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NPI record

NPI
1114506672
Entity type
Individual (Type 1)
Enumeration date
April 2, 2021
Last updated
May 30, 2025
Certified
May 30, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Medical Physician Assistant Primary 363AM0700X PA59650 CA
Physician Assistant 363A00000X — —

Mailing address

501 S Buena Vista St
Burbank, CA 91505-4809

Other practice locations (1)

  • 501 S Buena Vista St, Burbank, CA 91505-4809 · (818) 848-0552

About Deborah Madelon

Deborah Madelon is a healthcare provider registered in the NPI registry with the primary taxonomy Medical Physician Assistant (code 363AM0700X). The practice location is 1350 Hickory St, Melbourne, FL 32901-3224. The NPI number 1114506672 was assigned on April 2, 2021 and the record was last updated on May 30, 2025.

Deborah Madelon lists a license in the registry: #PA59650 (CA) for Medical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deborah Madelon?

The NPI number is 1114506672.

What is the phone number of Deborah Madelon?

The phone number listed for the practice location is (317) 805-4102.

Where is Deborah Madelon located?

1350 Hickory St, Melbourne, FL 32901-3224.

What is the taxonomy code for Deborah Madelon?

The primary taxonomy code is 363AM0700X – Medical Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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