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

Mailande Dedeaux, PA

Individual provider Medical Physician Assistant · NPI 1255708681

Mailande Dedeaux, PA is a Physician Assistant in Gulf Breeze, Florida. Qualified in 2015, 11 years ago. Practices with Child Neurology Center of Northwest Florida PA, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

400 Gulf Breeze Pkwy Ste 300
Gulf Breeze, FL 32561-4458
Phone: (850) 932-5055
Fax: (850) 932-1404
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9108878 (FL)

Record details

NPI number1255708681
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 2, 2015
Last updated in NPPESSeptember 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Child Neurology Center Of Northwest Florida Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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