Dr. Mark B Didea, MD
Pediatrics in Orlando, FL. Individual provider (NPI-1).
NPI number1790733772
StatusActive
Last updated in NPPESJun 30, 2020
Details
- NPI
- 1790733772
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark B Didea
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2006
- Certification date
- Jun 30, 2020
- Last updated
- Jun 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0042109 | FL | Yes |
Practice location
414 N Mills AveOrlando, FL 32803-5722
Phone 407-481-7290 · Fax 407-636-7800
Mailing address
414 N Mills AveOrlando, FL 32803-5722
Phone 407-481-7290 · Fax 407-636-7800
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