Individual
IRENE B MEDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7340 STONEROCK CIR, ORLANDO, FL 32819
(407) 355-0575
(407) 355-0576
Mailing address
PO BOX 692409, ORLANDO, FL 32869-2409
(407) 355-0575
(407) 355-0576
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME58900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153616
AETNA
FL
Enumeration date
11/07/2005
Last updated
07/16/2020
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