Individual
DR. DARRELL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 542-7300
Mailing address
14304 MARINA SAN PABLO PL APT 309, JACKSONVILLE, FL 32224-4904
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11014737
FL
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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