Individual
YANIEL ROGER MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-4400
Mailing address
2840 SW 26TH ST, MIAMI, FL 33133-2116
(786) 281-0462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9505997
FL
Other
Enumeration date
06/21/2024
Last updated
07/16/2024
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