Individual
CHRISTIAN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
7201 NW 12TH ST, MIAMI, FL 33126-1908
(786) 873-1812
Mailing address
7201 NW 12TH ST, MIAMI, FL 33126-1908
(786) 873-1812
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA47028
FL
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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