Individual
WILLIAM M. MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0287
(352) 265-0759
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0287
(352) 265-0759
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME35881
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000239489D
—
GA
05
—
066153800
—
FL
01
—
920006649
RAILROAD MEDICARE
FL
Enumeration date
04/04/2006
Last updated
11/21/2011
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