Individual
MARK J. MENDOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 312-3496
(321) 409-2517
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME67965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26824
BCBS OF FL
FL
05
—
378231000
—
FL
01
—
4671480
AETNA
FL
01
—
7905980
CIGNA
FL
01
—
P00768027
RR MEDICARE
FL
Enumeration date
12/16/2005
Last updated
01/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us