Individual
DIEGO IGNACIO MENDEZ GIORDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(833) 286-3732
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(833) 286-3732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9114113
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
03/18/2021
Last updated
06/18/2025
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