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Individual

LUIS MENDEZ-MULET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9240 SW 72ND ST STE 241, MIAMI, FL 33173-3265
(305) 271-1905
(305) 271-1911
Mailing address
PO BOX 561023, MIAMI, FL 33256-1023
(305) 271-1919
(305) 271-1911

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0083610
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265133500
FL
01
47943
BCBS
FL
01
47943X
MEDICARE PTAN
Enumeration date
07/04/2006
Last updated
08/27/2008
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