Mendez-Cordero, Gisel Ivette
Mendez-Cordero, Gisel Ivette is an sole proprietor health care provider with primary practice located at 5225 Clayton Ct , Fort Myers FL 33907-2117. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mendez-Cordero, Gisel Ivette can be contacted via phone (239) 343-8240.Contact Information
Primary practice address
5225 Clayton Ct
Fort Myers FL 33907-2117
Phone: (239) 343-8240
Fax: (239) 468-7906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY11300 | Florida |
Profile Details
| NPI number | 1013400373 |
|---|---|
| LBN Legal business name | Mendez-Cordero, Gisel Ivette |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2018 |
| Last updated | Oct 6th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013400373 | NPPES |
| Florida | MEDICAID | 116188200 |
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