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MEDEK PROVIDER NETWORK LLC
NPI 1356959779
General Practice in Mount Dora, FL

Active since July 22, 2020
131 WATERMAN AVE, MOUNT DORA, FL 32757(352) 385-1803 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2021, Jul 22, 2020 (2 updates tracked since 2020).

About Medek Provider Network Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDEK PROVIDER NETWORK LLC (NPI 1356959779) is a healthcare organization registered as a general practice in Mount Dora, Florida and active in the NPI registry since July 2020. The organization lists Eugene Mahfood, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1356959779
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDEK PROVIDER NETWORK LLC
Location Address131 WATERMAN AVEMount Dora, FL 32757-9541
Mailing Address131 Waterman AveMount Dora, FL 32757-9541 · (352) 385-1803
Phone(352) 385-1803
Organization SubpartNo
Authorized OfficialEugene MahfoodDirector Of Operations · (954) 892-3940
Enumeration DateJuly 22, 2020
Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1356959779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
131 WATERMAN AVE, Mount Dora, FL 32757
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medek Provider Network LLC's NPI number?

The NPI number for Medek Provider Network LLC is 1356959779. It was assigned to this organization in the NPPES registry on July 22, 2020.

Where is Medek Provider Network LLC located?

Medek Provider Network LLC is located at 131 Waterman Ave, Mount Dora, FL 32757. The listed phone number is (352) 385-1803.

What is Medek Provider Network LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medek Provider Network LLC was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.