# MANUEL S. MENDIZABAL, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** none
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972994143
- **Authorized official:** DR. MANUEL SUAREZ MENDIZABAL M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (305) 799-6234

## Contact information

- **Practice address:** 7090 SW 54TH ST, MIAMI, FL 33155-5644
- **Practice address phone:** (305) 799-6234
- **Mailing address:** 7090 SW 54TH ST, MIAMI, FL 33155-5644
- **Mailing address phone:** (305) 799-6234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME 0033414 | FL | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015