Individual
DEISY M MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
756 W PALM DR, FLORIDA CITY, FL 33034-3224
(305) 246-3530
Mailing address
1010 NE 13TH AVE, HOMESTEAD, FL 33033-4522
(786) 339-6642
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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