Meditele LLC
Organization Active NPI General Practice Physician · Deland, FL
NPI 1316616022 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1316616022
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- MEDITELE LLC
- Practice address
- 216 Jackson Loop
Deland, FL 32724-3251 - Phone
- (646) 346-4709
- NPI assigned
- Sep 8, 2021
- Organization subpart
- No
Authorized official
- Name
- Janet A Heron, ARNP
- Title
- Nurse Practitioner
- Phone
- (646) 346-4709
Practitioners 1
-
Janet A Heron, FNP
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/24947/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
216 Jackson Loop
Deland, FL 32724-3251
Mailing address
216 Jackson Loop
Deland, FL 32724-3251
Phone (646) 346-4709
Other providers in Deland, FL
- Justin James McNamee
- Karla Ann McNish
- Rena McPherron
- Kristen McTernan
- Med Equity Partners, LLC
- Mediwell LLC
- Kenneth Medley
- Lauren Meinelt
- Memorial Hospital-West Volusia Inc
- Memorial Hospital-West Volusia Inc
All providers in Deland, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.