Provider Demographics
NPI:1962245720
Name:MIDEO HEALTH OF NORTH CAROLINA PLLC
Entity type:Organization
Organization Name:MIDEO HEALTH OF NORTH CAROLINA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FERDINANDO
Authorized Official - Middle Name:L
Authorized Official - Last Name:MIRARCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:844-643-3648
Mailing Address - Street 1:900 STATE ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1419
Mailing Address - Country:US
Mailing Address - Phone:844-643-3648
Mailing Address - Fax:330-451-4172
Practice Address - Street 1:21710 PARSONS GREEN ROW
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8366
Practice Address - Country:US
Practice Address - Phone:844-643-3648
Practice Address - Fax:330-451-4172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty