Individual provider · Type 1 NPI

Mallory Jean Donelenko

Medical Physician Assistant · Winter Park, FL

NPI number 1417878448 Active

Practice location

1933 Dundee Dr
Winter Park, FL 32792-4103

Call (407) 303-2615 Map

Mailing address

1780 Welham St Apt 450
Orlando, FL 32814-6857

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1417878448

Mallory Jean Donelenko's National Provider Identifier is 1417878448, issued on Jul 24, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winter Park, FL. The record was last updated on Jul 24, 2026.