Individual
DR. MARK B DIDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 N MILLS AVE, ORLANDO, FL 32803-5722
(407) 481-7290
(407) 636-7800
Mailing address
414 N MILLS AVE, ORLANDO, FL 32803-5722
(407) 481-7290
(407) 636-7800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0042109
FL
Other
Enumeration date
05/04/2006
Last updated
06/30/2020
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