Organization
PEDEM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO G MENDOZA M.D. (PRESIDENT)
(305) 665-9046
Entity
Organization
Contact information
Practice address
8900 N KENDALL DR, PEDIATRIC EMERGENCY DEPT, MIAMI, FL 33176-2118
(786) 596-1960
Mailing address
5975 SUNSET DR, SUITE 402, SOUTH MIAMI, FL 33143-5198
(305) 665-9046
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/20/2012
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