Mendez, Gaston

Mendez, Gaston is an individual health care provider with primary practice located at 10010 Nw 45Th St , Coral Springs FL 33065-1591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mendez, Gaston can be contacted via phone (954) 721-2200.

Contact Information

Primary practice address
10010 Nw 45Th St Coral Springs FL 33065-1591
Phone: (954) 721-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0027558 Florida

Profile Details

NPI number 1104925742
LBN Legal business name Mendez, Gaston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 7th, 2023 - about 2 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 1104925742 NPPES
Florida Other 300019461 RR MEDICARE
Florida Other 93747 RR MEDICARE
Florida MEDICAID 045547400 RR MEDICARE

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