Individual
TANIA ISABEL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19045 N DALE MABRY HWY, LUTZ, FL 33548
(813) 874-3993
Mailing address
19045 N DALE MABRY HWY, LUTZ, FL 33548-4982
(813) 874-3993
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME126339
FL
Other
Enumeration date
03/24/2012
Last updated
07/13/2018
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