Dr. Madelyn Mezquita, M.D.
General Practice in Orlando, FL. Individual provider (NPI-1).
NPI number1265752000
StatusActive
Last updated in NPPESFeb 28, 2020
Details
- NPI
- 1265752000
- Entity type
- Individual (NPI-1)
- Name
- Dr. Madelyn Mezquita
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2010
- Certification date
- Feb 28, 2020
- Last updated
- Feb 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ACN 344 | FL | Yes |
| 208D00000X | General Practice | 53509-020 | WI |
Practice location
3162 S. Conway RdOrlando, FL 32812
Phone 407-276-0056 · Fax 407-237-0355
Mailing address
121 S Orange Ave Ste 940Orlando, FL 32801-3234
Phone 321-332-6947 · Fax 407-286-4515
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