Individual
MICHAEL ENRIQUE MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
1 JEFF FUQUA BLVD, ORLANDO, FL 32827-4392
(407) 825-3042
Mailing address
921 LAKE LINDLEY DR N, DELAND, FL 32724-4103
(407) 304-6077
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PMD525206
FL
146N00000X
Basic Emergency Medical Technician
EMT535937
FL
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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