Mendive, Anselmo M

Mendive, Anselmo M is an sole proprietor health care provider with primary practice located at 4601 Nw 199Th St Suite E, Miami Gardens FL 33055-1508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mendive, Anselmo M can be contacted via phone (305) 801-7030.

Contact Information

Primary practice address
4601 Nw 199Th St Suite E Miami Gardens FL 33055-1508
Phone: (305) 801-7030
Fax: (305) 274-4032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME56412 Florida

Profile Details

NPI number 1427229384
LBN Legal business name Mendive, Anselmo M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2008
Last updated Mar 24th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427229384 NPPES
Florida MEDICAID 048992101
Florida MEDICAID 048992100

Popular Providers