MEDICARE: MED METHOD DIRECT CLINICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1427906353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED METHOD DIRECT CLINICAL PLLC

Provider Business Mailing Address
First Line	:	7901 4TH ST N STE 300
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-4399
Country	:	US
Telephone Number	:	561-594-4949
Fax Number	:

Provider Business Practice Location Address
First Line	:	274 WILSHIRE BLVD STE 231
Second Line	:
City	:	CASSELBERRY
State	:	FL
Zip	:	32707-5367
Country	:	US
Telephone Number	:	561-594-4949
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	JUMANA H AL-DEEK
Credential	:	DO
Telephone Number	:	703-901-3199

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	05/06/2026

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