Healthcare Provider Details
I. General information
NPI: 1427498575
Provider Name (Legal Business Name): DYLAN MEZEY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/02/2013
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US
IV. Provider business mailing address
999 N DOHENY DR APT 1210
WEST HOLLYWOOD CA
90069-3153
US
V. Phone/Fax
- Phone: 352-265-5911
- Fax:
- Phone: 786-514-3208
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | MD2023-1183 |
| License Number State | NM |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | ME160248 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: