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Organization

JOSE MENDEZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE Y MENDEZ MD (PRESIDENT)
(407) 738-3030
Entity
Organization

Contact information

Practice address
8615 COMMODITY CIR STE 12, ORLANDO, FL 32819
(407) 476-1212
(407) 476-1213
Mailing address
8615 COMMODITY CIR STE 12, ORLANDO, FL 32819-9072
(407) 476-1212
(407) 476-1213

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
261QM0850X
Adult Mental Health Clinic/Center
Primary
ME107982
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005210100
FL
01
14M9E
FLORIDA BLUE
FL
Enumeration date
11/06/2012
Last updated
07/30/2020
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