Mendoza, Julie Carvajal

Mendoza, Julie Carvajal is an individual health care provider with primary practice located at 3030 W. Dr. Mlk Jr. Blvd , Tampa FL 33607-6308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Mendoza, Julie Carvajal can be contacted via phone (813) 879-4730.

Contact Information

Primary practice address
3030 W. Dr. Mlk Jr. Blvd Tampa FL 33607-6308
Phone: (813) 879-4730
Fax: (954) 858-0404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01039053 Indiana

Profile Details

NPI number 1164477980
LBN Legal business name Mendoza, Julie Carvajal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Nov 28th, 2011 - about 15 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 1164477980 NPPES
Florida MEDICAID 279968500
Florida MEDICAID 200198930
Florida MEDICAID 0859334
Florida MEDICAID 3495805

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