# MENDEZ J MEDICAL OFFICE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932510484
- **Authorized official:** LORELY MENDEZ M.D. (PRESIDENT)
- **Authorized official phone:** (786) 615-2713

## Contact information

- **Practice address:** 16420 NW 59TH AVE, MIAMI LAKES, FL 33014-5602
- **Practice address phone:** (786) 325-9303
- **Mailing address:** 16420 NW 59TH AVE, MIAMI LAKES, FL 33014-5602
- **Mailing address phone:** (786) 325-9303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME103361 | FL | Yes |

## Other

- **Enumeration date:** 05/17/2014
- **Last updated:** 03/23/2018