Individual
DR. ORMOND C MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, SUITE 102, MELBOURNE, FL 32901-3224
(321) 434-3455
(321) 343-3456
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
11608
NC
2086S0129X
Vascular Surgery Physician
ME0044772
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME44772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051528100
—
FL
01
—
05531
BLUE CROSS BLUE SHIELD
FL
05
—
281143000
—
FL
Enumeration date
07/06/2006
Last updated
09/20/2013
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