Individual
CARLOS A MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 40TH ST W, BRADENTON, FL 34205-1724
(941) 748-5885
(941) 749-5664
Mailing address
802 40TH ST W, BRADENTON, FL 34205-1724
(941) 748-5885
(941) 749-5664
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME46189
FL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME46189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271763800
—
FL
Enumeration date
07/20/2005
Last updated
06/18/2021
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