Individual
ERICK MANUEL MENDIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3001 S OCEAN DR, APT 501, HOLLYWOOD, FL 33019-2830
(786) 229-8334
Mailing address
3001 S OCEAN DR, APT 501, HOLLYWOOD, FL 33019-2830
(786) 229-8334
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ARNP9243359
FL
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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