Active NPI
Mekhiel Kamel
- Driver
- Deland, FL
National Provider Identifier
1578992756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- K540549821640
- Practice address
- 1431 Orange Camp Rd
Suite # 102
Deland, FL 32724-7768 - Phone
- (386) 734-8477
- Fax
- (386) 734-8488
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | K540549821640 | FL | Primary |
Addresses
Primary practice location
1431 Orange Camp Rd
Suite # 102
Deland, FL 32724-7768
Mailing address
1431 Orange Camp Rd
Suite # 102
Deland, FL 32724-7768
Phone (386) 734-8477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K540549821640 | FL | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter Botros Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1578992756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 ORANGE CAMP RD",
"address_2": "SUITE # 102",
"city": "DELAND",
"state": "FL",
"postal_code": "327247768",
"telephone_number": "386-734-8477",
"fax_number": "386-734-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 ORANGE CAMP RD",
"address_2": "SUITE # 102",
"city": "DELAND",
"state": "FL",
"postal_code": "327247768",
"telephone_number": "386-734-8477",
"fax_number": "386-734-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMEL",
"first_name": "MEKHIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "K540549821640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.