Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gregorio Medalle PA

Organization Surgery Physician · NPI 1194039321

Gregorio Medalle PA is a Surgery Physician in Wauchula, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1052 Downing Cir
Wauchula, FL 33873-3358
Phone: (863) 773-3773
Fax: (863) 773-0358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME0044016 (FL)
General Practice Physician Taxonomy 208D00000X · Licence ME0044016 (FL)

Record details

NPI number1194039321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregorio Medalle — Owner/Physician · (863) 773-3773
Other names Gregorio N. Medalle, M.D., P.A.
NPI enumeratedJuly 29, 2010
Last updated in NPPESAugust 16, 2010
Mailing address1052 Downing Cir, Wauchula, FL 33873-3358

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