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Individual

JOSE JOSHUA MELENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14450 DESERT HAVEN ST, WINDERMERE, FL 34786-6816
(407) 607-1321
Mailing address
PO BOX 1073, WINDERMERE, FL 34786-1073
(407) 607-1321

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
305S00000X
Point of Service
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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