Organization
AMAZON PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETICIA MENDEZ (PRESIDENT)
(239) 963-9855
Entity
Organization
Contact information
Practice address
4075 PINE RIDGE RD STE 2, NAPLES, FL 34119-4004
(239) 963-9855
(239) 963-9857
Mailing address
4075 PINE RIDGE RD, SUITE #2, NAPLES, FL 34119
(239) 963-9855
(239) 963-9857
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261894000
—
FL
Enumeration date
12/13/2011
Last updated
07/21/2022
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