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Individual

DONNA OVIS MENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
16350 BRUCE B DOWNS BLVD UNIT 46532, TAMPA, FL 33646-9023
(305) 834-0583
Mailing address
16350 BRUCE B DOWNS BLVD UNIT 46532, TAMPA, FL 33646-9023
(305) 834-0583

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5160720
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5160720
LPN
FL
Enumeration date
09/12/2012
Last updated
07/06/2015
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