Organization
DERMATOLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE E MENDEZ DO (PRACTICE OWNER)
(954) 431-7681
Entity
Organization
Contact information
Practice address
12600 PEMBROKE RD STE 310, MIRAMAR, FL 33027-2544
(954) 431-7681
(954) 431-7682
Mailing address
12600 PEMBROKE RD STE 310, MIRAMAR, FL 33027-2544
(954) 431-7681
(954) 431-7682
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022844800
—
FL
Enumeration date
03/17/2009
Last updated
11/23/2020
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