Individual
DR. CAROLINA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-6260
(239) 343-6259
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6260
(239) 343-6259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME121357
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME121357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074100
—
FL
Enumeration date
04/04/2011
Last updated
07/10/2024
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