Individual
LIANA M. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 576-6611
(305) 576-0008
Mailing address
1469 NW 36TH ST, MIAMI, FL 33142-5557
(786) 433-8484
(305) 634-2755
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ACN216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280152300
—
FL
Enumeration date
06/12/2007
Last updated
09/13/2019
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