Individual
MEKDES DITAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(321) 841-2800
(321) 843-8777
Mailing address
76 UNDERWOOD ST # MP67, ORLANDO, FL 32806-1110
(321) 843-7103
(321) 843-8777
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
DO01407
RI
2084N0400X
Neurology Physician
Primary
OS14666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021190500
—
FL
Enumeration date
06/26/2014
Last updated
09/30/2025
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