Individual
JOSE ELIAS MENDOZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 N FLAMINGO RD, SUITE 108, PEMBROKE PINES, FL 33028-1015
(954) 431-7323
Mailing address
1501 NW 113TH WAY, PEMBROKE PINES, FL 33026-2675
(954) 579-3266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107468
FL
Other
Enumeration date
11/12/2013
Last updated
02/17/2025
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