| Meditele LLC | |
|
216 Jackson Loop Deland FL 32724-3251 | |
| (646) 346-4709 | |
| Not Available |
| Full Name | Meditele LLC |
|---|---|
| Speciality | General Practice |
| Location | 216 Jackson Loop, Deland, Florida |
| Authorized Official Name and Position | Janet a Heron (NURSE PRACTITIONER) |
| Authorized Official Contact | 6463464709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditele LLC 216 Jackson Loop Deland FL 32724-3251 Ph: (646) 346-4709 | Meditele LLC 216 Jackson Loop Deland FL 32724-3251 Ph: (646) 346-4709 |
| NPI Number | 1316616022 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316616022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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