Organization · Type 2 NPI
Mediq Health LLC
Medical Physician Assistant · Odessa, FL
NPI number
1376254573
Active
Practice location
2445 Merchant Ave Ste C
Odessa, FL 33556-3466
Fax (817) 887-3487
Mailing address
11051 Rancho Pl
Fort Worth, TX 76244-4859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
| Family Health Clinical Nurse Specialist | 364SF0001X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1376254573
Mediq Health LLC's National Provider Identifier is 1376254573, issued on Dec 8, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Odessa, FL. The record was last updated on Dec 8, 2022.