Individual
CATALINA OLIVIA MENDOZA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668
(239) 424-2000
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9567
(239) 343-9571
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
PENDING
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11038633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127840100
—
FL
Enumeration date
03/14/2025
Last updated
09/12/2025
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