Individual
AMY MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12955 SW 112TH ST, MIAMI, FL 33186-4768
(305) 382-4161
Mailing address
12955 SW 112TH ST, MIAMI, FL 33186-4768
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11015462
FL
Other
Enumeration date
09/18/2021
Last updated
10/22/2021
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