Individual
JEREMY MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 NW 82ND AVE, PLANTATION, FL 33324-1811
(954) 693-8600
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP133263
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9334397
FL
367500000X
Certified Registered Nurse Anesthetist
RN9334397
FL
390200000X
Student in an Organized Health Care Education/Training Program
RN9334397
FL
Other
Enumeration date
05/20/2014
Last updated
05/19/2024
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