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Individual

MISS GINA MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
844 W PLYMOUTH AVE, DELAND, FL 32720-3284
(866) 326-7548
Mailing address
PO BOX 951995, LAKE MARY, FL 32795-1995

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
012376
NY
363A00000X
Physician Assistant
PA58724
CA
363A00000X
Physician Assistant
Primary
PA9106567
FL

Other

Enumeration date
05/10/2010
Last updated
10/01/2021
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