Organization
ELVIN M MENDEZ M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIN M MENDEZ M.D., P.A. (OWNER)
(941) 255-3722
Entity
Organization
Contact information
Practice address
3410 TAMIAMI TRL, A1, PORT CHARLOTTE, FL 33952-8127
(941) 255-3722
(941) 255-3723
Mailing address
PO BOX 511896, PUNTA GORDA, FL 33951-1896
(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
01
—
47861
BCBS
FL
Enumeration date
09/05/2005
Last updated
10/22/2007
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