Individual
DR. MA. CONCEPCION MENDOZA PRUDENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 359-3842
(904) 359-3847
Mailing address
PO BOX 44008, UFJP, JACKSONVILLE, FL 32231-4008
(904) 244-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME68745
FL
Other
Enumeration date
03/28/2006
Last updated
08/29/2007
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