Individual
MS. ANA M MENDIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
7800 SW 57TH AVE, SUITE 300, SOUTH MIAMI, FL 33143-5544
(305) 740-7292
(305) 328-6624
Mailing address
7600 SW 57 AVE, STE 300, MIAMI, FL 33143
(305) 740-7292
(305) 328-6624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885450500
—
FL
01
—
Y5851
BCBS OF FLORIDA
FL
Enumeration date
08/23/2006
Last updated
09/01/2018
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