# MEDITELE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316616022
- **Authorized official:** JANET A HERON ARNP (NURSE PRACTITIONER)
- **Authorized official phone:** (646) 346-4709

## Contact information

- **Practice address:** 216 JACKSON LOOP, DELAND, FL 32724-3251
- **Practice address phone:** (646) 346-4709
- **Mailing address:** 216 JACKSON LOOP, DELAND, FL 32724-3251
- **Mailing address phone:** (646) 346-4709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 09/08/2021