IndividualActive
Deborah Madelon
NPI 1114506672 · Medical Physician Assistant · Melbourne, FL
Provider details
- NPI number
- 1114506672
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1350 Hickory St
Melbourne, FL 32901-3224
Phone: (317) 805-4102
Approximate (ZIP-level) locationGet directions
Mailing address
501 S Buena Vista St
Burbank, CA 91505-4809
Additional practice locations (1)
- 501 S Buena Vista StBurbank, CA 91505-4809Phone: (818) 848-0552
Registry dates
- Enumerated
- 2021-04-02
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.