Meditele LLC

General Practice Physician · Deland, FL

Organization Active NPI

NPI number 1316616022

Practice location

216 Jackson Loop
Deland, FL 32724-3251
Phone
(646) 346-4709

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NPI record

NPI
1316616022
Entity type
Organization (Type 2)
Enumeration date
September 8, 2021
Last updated
September 8, 2021
Certified
September 7, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X — —

Authorized official

Name
Janet A Heron, ARNP
Title
Nurse Practitioner
Phone
(646) 346-4709

About Meditele LLC

Meditele LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 216 Jackson Loop, Deland, FL 32724-3251. The NPI number 1316616022 was assigned on September 8, 2021 and the record was last updated on September 8, 2021.

The authorized official for this organization is Janet A Heron, ARNP, Nurse Practitioner.

Frequently asked questions

What is the NPI number of Meditele LLC?

The NPI number is 1316616022.

What is the phone number of Meditele LLC?

The phone number listed for the practice location is (646) 346-4709.

Where is Meditele LLC located?

216 Jackson Loop, Deland, FL 32724-3251.

What is the taxonomy code for Meditele LLC?

The primary taxonomy code is 208D00000X – General Practice Physician.

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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