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

Medek Provider Network LLC

Organization General Practice Physician · NPI 1356959779

Medek Provider Network LLC is a General Practice Physician in Mount Dora, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

131 Waterman Ave
Mount Dora, FL 32757-9541
Phone: (352) 385-1803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1356959779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Mahfood — Director Of Operations · (954) 892-3940
NPI enumeratedJuly 22, 2020
Last updated in NPPESJuly 6, 2021
Certification dateJune 24, 2021
Mailing address131 Waterman Ave, Mount Dora, FL 32757-9541

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