Mendez, Jose E
Mendez, Jose E is an individual health care provider with primary practice located at 12600 Pembroke Rd Ste 310 , Miramar FL 33027-2544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Mendez, Jose E can be contacted via phone (954) 431-7681.Contact Information
Primary practice address
12600 Pembroke Rd Ste 310
Miramar FL 33027-2544
Phone: (954) 431-7681
Fax: (954) 431-7682
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2014-00246 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS0007092 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS7092 | Florida |
Profile Details
| NPI number | 1033101175 |
|---|---|
| LBN Legal business name | Mendez, Jose E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Nov 23rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033101175 | NPPES |
| Florida | MEDICAID | 251021901 |
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