Mailande P Dedeaux (NPI# 1255708681, PAC ID# 8729388848) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255708681 |
| PAC ID by PECOS | 8729388848 |
| Professional Enrollment ID | I20151123000003 |
| Full Name | Mailande P Dedeaux |
| Organization Legal Name | CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA |
| Address |
10123 Us Hwy 98 W Destin FL 32550-5000 |
| Phone Number | 8504846060 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870584345 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10123 Us Hwy 98 W, Destin, FL 32550-5000 | 8504846060 | CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA |
| 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4458 | 8509325055 | CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA |
| Organization Legal Name | CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa M Keohane | Nurse Practitioner | Child Neurology Center of Northwest Florida Pa | 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4458 |
| James Benjamin Renfroe | Neurology | Child Neurology Center of Northwest Florida Pa | 23 Mack Bayou Loop, Suite 100, Santa Rosa Beach, FL 32459-2606 |
| Weldon Mauney Iii | Neurology | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Quynh Nguyen | Physician Assistant | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Sara M Winchester | Neurology | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Street Address |
10123 US HWY 98 W |
| City | DESTIN |
| State | FL |
| Zip | 32550-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Weldon Mauney Iii | Neurology | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Quynh Nguyen | Physician Assistant | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Sara M Winchester | Neurology | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Mcmanus | Clinical Social Worker | Michael Mcmanus Associates Pa | 12598 Emerald Coast Pkwy, Suite 201, Miramar Beach, FL 32550 |
| Michael N Mcmanus | Clinical Social Worker | Michael Mcmanus Associates Pa | 12598 Emerald Coast Pkwy, Suite 201, Miramar Beach, FL 32550 |
| Perry D Hight | Family Medicine | 12598 Emerald Coast Pkwy W, Miramar Beach, FL 32550-2101 | |
| Jacquelyn H Orcino | Physician Assistant | Emerald Coast Urgent Care LLC | 12598 Us Hwy 98 W, Unit 101, Destin, FL 32550-2102 |
| Rachel K Trimm-scarborough | Nurse Practitioner | Sandestin Clinical Services, LLC | 400 Audubon Dr, Miramar Beach, FL 32550-4594 |
| Rachel M Reid | Physician Assistant | Mid-florida Dermatology Associates P.a. | 91 Scenic Gulf Dr, Suite 200, Miramar Beach, FL 32550-4951 |
| Maria Kabushinskaya | Physician Assistant | Mid-florida Dermatology Associates P.a. | 91 Scenic Gulf Dr, Suite 200, Miramar Beach, FL 32550-4951 |
| Calvin L Blount Jr. | Family Medicine | 12607 Us Hwy 98 W, Miramar Beach, FL 32550-6825 | |
| Rafael O Mollega Jr. | Optometry | 13346 Emerald Coast Pkwy W, Miramar Beach, FL 32550-6835 | |
| Lisa M Mckinley | Certified Registered Nurse Anesthetist (crna) | Ams Anesthetist Services LLC | 7800 Us Hwy 98 W, Miramar Beach, FL 32550-7228 |
| Find all physicians in zip 32550 | |||
| City | DESTIN |
| Zip Code | 32550 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DESTIN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mailande P Dedeaux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.