Ditamo, Mekdes

Ditamo, Mekdes is an sole proprietor health care provider with primary practice located at 76 Underwood St Ste 200 , Orlando FL 32806-1110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Ditamo, Mekdes can be contacted via phone (321) 841-2800.

Contact Information

Primary practice address
76 Underwood St Ste 200 Orlando FL 32806-1110
Fax: (321) 843-8777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X OS14666 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DO01407 Rhode Island

Profile Details

NPI number 1639584709
LBN Legal business name Ditamo, Mekdes
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2014
Last updated Sep 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639584709 NPPES
Florida MEDICAID 021190500

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