Individual
MR. LUIS O APONTE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
704 DOCTORS CT., SUITE 101, LEESBURG, FL 34748
(352) 728-3252
(352) 728-0558
Mailing address
704 DOCTORS CT., SUITE 101, LEESBURG, FL 34748
(352) 728-3252
(352) 728-0558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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