Organization
MENDEZ J MEDICAL OFFICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELY MENDEZ M.D. (PRESIDENT)
(786) 615-2713
Entity
Organization
Contact information
Practice address
16420 NW 59TH AVE, MIAMI LAKES, FL 33014-5602
(786) 325-9303
Mailing address
16420 NW 59TH AVE, MIAMI LAKES, FL 33014-5602
(786) 325-9303
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME103361
FL
Other
Enumeration date
05/17/2014
Last updated
03/23/2018
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