Individual
DR. JOSE YSRAEL MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8615 COMMODITY CIR, SUITE 12, ORLANDO, FL 32819-9071
(407) 476-1212
(407) 476-1213
Mailing address
8615 COMMODITY CIR, SUITE 12, ORLANDO, FL 32819-9071
(407) 476-1212
(407) 476-1213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME107982
FL
207R00000X
Internal Medicine Physician
ME107982
FL
2084N0400X
Neurology Physician
ME107982
FL
2084P0800X
Psychiatry Physician
Primary
ME107982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005210100
—
FL
Enumeration date
10/15/2007
Last updated
07/01/2020
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