Individual
JESUS MENDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1475 NW 12TH AVE, SUITE 3510, MIAMI, FL 33136-1002
(305) 243-8360
(305) 243-9136
Mailing address
1475 NW 12TH AVE, SUITE 3510, MIAMI, FL 33136-1002
(305) 243-8360
(305) 243-9136
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104936
FL
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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