Healthcare Provider Details

I. General information

NPI: 1831543313
Provider Name (Legal Business Name): ARIEL EDUARDO MEJIA SANCHEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ARIEL MEJIA MD

II. Dates (important events)

Enumeration Date: 04/20/2016
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 QUADRANGLE BLVD
ORLANDO FL
32817-1492
US

IV. Provider business mailing address

3400 QUADRANGLE BLVD
ORLANDO FL
32817-1492
US

V. Phone/Fax

Practice location:
  • Phone: 407-266-3627
  • Fax: 407-882-4799
Mailing address:
  • Phone: 407-266-3627
  • Fax: 407-882-4799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME164260
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: