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NPI Code Detail

MEDICARE: MED METHOD DIRECT CLINICAL PLLC

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
1261QP2300XPrimary 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 : 121 S ORANGE AVE STE 1500
Second Line :
City : ORLANDO
State : FL
Zip : 32801-3241
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 : 03/17/2026

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Directions to “MED METHOD DIRECT CLINICAL PLLC ” Practice Location

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