Individual
CARLOS J MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 COLLEGE AVE, DAVIE, FL 33314-7796
(787) 817-9703
Mailing address
3301 COLLEGE AVE, DAVIE, FL 33314-7796
(787) 817-9703
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI46069
FL
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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