Mendez, Elvin M

Mendez, Elvin M is an individual health care provider with primary practice located at 22655 Bayshore Rd Ste 130, Port Charlotte FL 33980-2005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Mendez, Elvin M can be contacted via phone (941) 255-3722.

Contact Information

Primary practice address
22655 Bayshore Rd Ste 130 Port Charlotte FL 33980-2005
Phone: (941) 255-3722
Fax: (941) 255-3723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME64431 Florida

Profile Details

NPI number 1003800939
LBN Legal business name Mendez, Elvin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 30th, 2021 - about 3 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 1003800939 NPPES
Florida Other 47861 BCBS
Florida MEDICAID 014287900 BCBS

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