Individual
DR. JULIE CARVAJAL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 W. DR. MLK JR. BLVD, TAMPA, FL 33607-6308
(813) 879-4730
(954) 858-0404
Mailing address
1300 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33323-2826
(800) 243-3839
(954) 858-0404
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01039053
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0859334
—
OH
05
—
200198930
—
IN
05
—
279968500
—
FL
05
—
3495805
—
MI
Enumeration date
05/23/2006
Last updated
11/28/2011
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