Diaz Mendez, Harry

Diaz Mendez, Harry is an individual health care provider with primary practice located at 6100 Minton Rd Nw Ste 104 , Palm Bay FL 32907-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Diaz Mendez, Harry can be contacted via phone (321) 724-1172.

Contact Information

Primary practice address
6100 Minton Rd Nw Ste 104 Palm Bay FL 32907-1900
Phone: (321) 724-1172
Fax: (321) 984-1695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME124433 Florida

Profile Details

NPI number 1396725727
LBN Legal business name Diaz Mendez, Harry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 21st, 2024 - about 10 months 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 1396725727 NPPES
Florida Other IF714Z MEDICARE
Florida MEDICAID 120528400 MEDICARE
Florida Other 150QQ MEDICARE

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