Individual
ARLENNE JEANETTE PONCE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2420 JENKS AVE STE B, PANAMA CITY, FL 32405-4909
(850) 770-3260
(850) 770-3225
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-1431
(850) 770-3220
(850) 770-3225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME136481
FL
390200000X
Student in an Organized Health Care Education/Training Program
19808
PR
390200000X
Student in an Organized Health Care Education/Training Program
32644-R
PR
390200000X
Student in an Organized Health Care Education/Training Program
33086-R
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609213925
—
PR
Enumeration date
05/28/2013
Last updated
08/20/2018
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