| Medek Provider Network Llc | |
|
131 Waterman Ave Mount Dora FL 32757-9541 | |
| (352) 385-1803 | |
| Not Available |
| Full Name | Medek Provider Network Llc |
|---|---|
| Speciality | General Practice |
| Location | 131 Waterman Ave, Mount Dora, Florida |
| Authorized Official Name and Position | Eugene Mahfood (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9548923940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medek Provider Network Llc 131 Waterman Ave Mount Dora FL 32757-9541 Ph: (352) 385-1803 | Medek Provider Network Llc 131 Waterman Ave Mount Dora FL 32757-9541 Ph: (352) 385-1803 |
| NPI Number | 1356959779 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 07/06/2021 |
| Medicare PECOS PAC ID | 6204294713 |
|---|---|
| Medicare Enrollment ID | O20230615000845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356959779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Christopher L. Calapai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548288715 PECOS PAC ID: 1951335132 Enrollment ID: I20230714000556 |
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