Mendez, Jose E

Mendez, Jose E is an individual health care provider with primary practice located at 12600 Pembroke Rd Ste 310 , Miramar FL 33027-2544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mendez, Jose E can be contacted via phone (954) 431-7681.

Contact Information

Primary practice address
12600 Pembroke Rd Ste 310 Miramar FL 33027-2544
Phone: (954) 431-7681
Fax: (954) 431-7682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2014-00246 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0007092 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS7092 Florida

Profile Details

NPI number 1033101175
LBN Legal business name Mendez, Jose E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 23rd, 2020 - about 6 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 1033101175 NPPES
Florida MEDICAID 251021901

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