Individual
LUCAS MIGUEL MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD (HOUSE PHYSICIAN)
Contact information
Practice address
JACKSON SOUTH MEDICAL CENTER, 9333 W 152 ST, MIAMI, FL 33157
(305) 251-2500
(305) 256-2213
Mailing address
10317 W 33 LN, HIALEAH, FL 33018
(786) 338-3828
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
HSE281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701
NATIONAL SURGICAL ASSISTANTS ASSOCIATION
NC
Enumeration date
12/08/2010
Last updated
07/16/2024
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