Organization
COMPLETE CARE CENTER OF MIAMI INC
Active
Other names
LIZBETH MENDOZA MD,PA,FAAP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZBETH MENDOZA MD,PA,FAAFP (PHYSICIAN)
(305) 446-1743
Entity
Organization
Contact information
Practice address
1301 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-3324
(305) 443-1743
Mailing address
1301 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-3324
(305) 443-1743
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0080663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268210900
—
FL
01
—
U1812A
INDIVIDUAL MEDICARE UPIN
FL
Enumeration date
10/04/2007
Last updated
04/12/2012
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