Mendez, Lenny Tua

Mendez, Lenny Tua is an sole proprietor health care provider with primary practice located at 4725 Us Highway 98 S Ste 102 , Lakeland FL 33812-4334. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mendez, Lenny Tua can be contacted via phone (863) 646-9191.

Contact Information

Primary practice address
4725 Us Highway 98 S Ste 102 Lakeland FL 33812-4334
Phone: (863) 646-9191
Fax: (863) 646-5252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16894 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN532 Florida

Profile Details

NPI number 1225227051
LBN Legal business name Mendez, Lenny Tua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Mar 27th, 2018 - about 7 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 1225227051 NPPES
Florida Other FG350A MEDICARE
Florida MEDICAID 012863800 MEDICARE
Florida Other 1456278 MEDICARE
Florida Other P1056619 MEDICARE
Florida Other P988170 MEDICARE
Florida Other 1119187 MEDICARE
Florida Other P01756119 MEDICARE

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