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Organization

DR GUILLERMO MENDOZA - INT MED - LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUILLERMO ALFREDO MENDOZA FONSECA MD (PRESIDENT)
(407) 890-9748
Entity
Organization

Contact information

Practice address
2572 W STATE ROAD 426 STE 3040, OVIEDO, FL 32765-8389
(407) 890-9748
(407) 890-9819
Mailing address
2572 W STATE ROAD 426 STE 3040, OVIEDO, FL 32765-8389
(407) 890-9748
(407) 890-9819

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/23/2018
Last updated
08/15/2024
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