Individual
SUSANNA B. MENDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13734 SW 56TH ST, MIAMI, FL 33175-6020
(305) 387-7211
(305) 382-2708
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(786) 293-3200
(786) 293-3200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 110596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004573100
—
FL
Enumeration date
11/29/2005
Last updated
10/08/2013
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