Active NPI
Mesadieu Branchelor, PA
- Physician Assistant
- Apopka, FL
National Provider Identifier
1639708373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PACN55
- Practice address
- 425 S Hunt Club Blvd Ste 201
Apopka, FL 32703-2428 - Phone
- (407) 304-9337
- NPI assigned
- Apr 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PACN55 | FL | Primary |
| Physician Assistant | 363A00000X | 000390-P.A. | PR |
Addresses
Primary practice location
425 S Hunt Club Blvd Ste 201
Apopka, FL 32703-2428
Mailing address
425 S Hunt Club Blvd Ste 201
Apopka, FL 32703-2428
Phone (407) 304-9337
Other practice location 1
6336 W Colonial Dr
Orlando, FL 32818-7812
Phone (407) 259-2383
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PACN55 | FL | MD | Physician Assistant |
| 000390-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1639708373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S HUNT CLUB BLVD STE 201",
"city": "APOPKA",
"state": "FL",
"postal_code": "327032428",
"telephone_number": "407-304-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S HUNT CLUB BLVD STE 201",
"city": "APOPKA",
"state": "FL",
"postal_code": "327032428",
"telephone_number": "407-304-9337"
}
],
"practiceLocations": [
{
"address_1": "6336 W Colonial Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328187812",
"country_code": "US",
"telephone_number": "407-259-2383",
"fax_number": "833-450-5420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANCHELOR",
"first_name": "MESADIEU",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-04",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PACN55",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "000390-P.A.",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.