Individual
REBECA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
102 PARK PLACE BLVD STE D1, KISSIMMEE, FL 34741-2358
(407) 851-5121
Mailing address
360 N BABCOCK ST STE 104, MELBOURNE, FL 32935-7329
(407) 851-5121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11010559
FL
363LF0000X
Family Nurse Practitioner
11010559
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11010559
FL
Other
Enumeration date
12/13/2020
Last updated
01/20/2026
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