Individual
NICOLE LEA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
3001 W. DR. MARTIN LUTHER KING JR. BLVD., TAMPA, FL 33607-6307
(813) 350-7244
(813) 350-7246
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA388
FL
Other
Enumeration date
07/05/2006
Last updated
07/21/2022
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