Mendenhall, Milton T.

Mendenhall, Milton T. is an individual health care provider with primary practice located at 400 Health Park Blvd Attn: Radiology Department, Saint Augustine FL 32086-5784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mendenhall, Milton T. can be contacted via phone (904) 819-4398.

Contact Information

Primary practice address
400 Health Park Blvd Attn: Radiology Department Saint Augustine FL 32086-5784
Phone: (904) 819-4398
Fax: (904) 819-4976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME48034 Florida

Profile Details

NPI number 1477520435
LBN Legal business name Mendenhall, Milton T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 7th, 2012 - about 12 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 1477520435 NPPES
Florida MEDICAID 272439100
Florida Other 300029640

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