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Organization

JOHN V MENDOLA M D

Active
Other names
john v mendola md llc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN VINCENT MENDOLA MD (MD)
(201) 709-3586
Entity
Organization

Contact information

Practice address
10 BETH STACEY BLVD, UNIT 104, LEHIGH ACRES, FL 33936-6047
(201) 709-3586
Mailing address
10 BETH STACEY BLVD, UNIT 104, LEHIGH ACRES, FL 33936
(201) 709-3586

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME 117536
FL

Other

Enumeration date
10/30/2013
Last updated
10/30/2013
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