OrganizationActive
Medek Provider Network LLC
NPI 1356959779 · General Practice Physician · Mount Dora, FL
Provider details
- NPI number
- 1356959779
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eugene Mahfood, Director of Operations(954) 892-3940
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
131 Waterman Ave
Mount Dora, FL 32757-9541
Phone: (352) 385-1803
Street-level locationGet directions
Mailing address
131 Waterman Ave
Mount Dora, FL 32757-9541
Registry dates
- Enumerated
- 2020-07-22
- Last updated
- 2021-07-06
- Certified
- 2021-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.