Individual
DR. ELVIN M MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22655 BAYSHORE RD, STE 130, PORT CHARLOTTE, FL 33980-2005
(941) 255-3722
(941) 255-3723
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(941) 255-3722
(941) 255-3723
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME64431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014287900
—
FL
01
—
47861
BCBS
FL
Enumeration date
09/07/2005
Last updated
03/30/2021
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