Marc Darlene Mezidor

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2577 Issued in PR

Practice address

1069 NE 157TH Ter
North Miami Beach, FL 33162-5335

Phone

(786) 515-5812

NPI assigned

Mar 21, 2025

Reactivated

Jun 29, 2026

Last updated

Jun 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1891596375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 N SEELEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454918",
            "telephone_number": "786-515-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 NE 157TH TER",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331625335",
            "telephone_number": "786-515-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZIDOR",
        "first_name": "MARC DARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-06-29",
        "certification_date": "2026-04-28",
        "deactivation_date": "2026-04-28",
        "reactivation_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raisa Metauten, APRN
• Nathalie Cassandre Metellus, AGACNP-BC
• Metro Mommy Agency LLC
• Metro-Miami OB/GYN Associates, P.a.
• Metropolitan Health Networks LT Blue Zone
• MG Center Compania Corp
• Miami Dade Health Centers
• Miami Dade Physical Medicine (South Florida Spine and Rehab Centers)
• Miami International Diagnostics Inc
• Miami International Hand Surgical Services

• Physician Assistant in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.