Individual
MR. EFRAIN J MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1611 NW 12TH AVE, 8TH FLOOR, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
10061 NW 129TH TER, HIALEAH GARDENS, FL 33018-1653
(561) 718-6236
(305) 823-3722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100123
FL
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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