Mendez, Eduardo S

Mendez, Eduardo S is an sole proprietor health care provider with primary practice located at 9618 Pines Blvd , Pembroke Pines FL 33024-6240. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mendez, Eduardo S can be contacted via phone (954) 517-1620.

Contact Information

Primary practice address
9618 Pines Blvd Pembroke Pines FL 33024-6240
Phone: (954) 517-1620
Fax: (954) 517-1621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME83615 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME83615 Florida

Profile Details

NPI number 1912147521
LBN Legal business name Mendez, Eduardo S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2009
Last updated Jul 11th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912147521 NPPES
Florida Other ME83615 MEDICAL LICENSE
Florida Other FR750Z MEDICAL LICENSE
Florida MEDICAID 009889100 MEDICAL LICENSE

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