Individual
NICHOLAS LEE MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., ATC, LAT
Contact information
Practice address
5391 FERRIS AVE, AVE MARIA, FL 34142-5046
(239) 770-4778
Mailing address
5391 FERRIS AVE, AVE MARIA, FL 34142-5046
(239) 770-4778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2017
Last updated
07/21/2022
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