Organization
KELLIE MOSLEY MENDEZ DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLIE ANN MOSLEY MENDEZ D.O. (OWNER/PRESIDENT)
(305) 557-0414
Entity
Organization
Contact information
Practice address
15600 NW 67TH AVE, SUITE 105, MIAMI LAKES, FL 33014-2174
(305) 557-0414
(305) 557-0496
Mailing address
15600 NW 67TH AVE, SUITE 105, MIAMI LAKES, FL 33014-2174
(305) 557-0414
(305) 557-0496
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS7914
FL
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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