Mendoza, Carlos Alberto
Mendoza, Carlos Alberto is an individual health care provider with primary practice located at 5127 Nw 39Th Ave , Gainesville FL 32606-5943. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Mendoza, Carlos Alberto can be contacted via phone (352) 327-4023.Contact Information
Primary practice address
5127 Nw 39Th Ave
Gainesville FL 32606-5943
Phone: (352) 327-4023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA69514 | Florida |
Profile Details
| NPI number | 1093051823 |
|---|---|
| LBN Legal business name | Mendoza, Carlos Alberto |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2012 |
| Last updated | Dec 26th, 2012 - about 14 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 | 1093051823 | NPPES |
| Florida | Other | MA69514 | STATE LICENSURE MASSAGE THERAPIST |
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