Mendez, Michelle Renae

Mendez, Michelle Renae is an individual health care provider with primary practice located at 1909 Beach Blvd Suite 102, Jacksonville Beach FL 32250-8608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mendez, Michelle Renae can be contacted via phone (904) 246-2752.

Contact Information

Primary practice address
1909 Beach Blvd Suite 102 Jacksonville Beach FL 32250-8608
Phone: (904) 246-2752
Fax: (904) 246-2758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS7488 Florida

Profile Details

NPI number 1740202456
LBN Legal business name Mendez, Michelle Renae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 9th, 2023 - about last year

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 1740202456 NPPES
Florida Other P00369612 MEDICARE RAILROAD
Florida MEDICAID 268106400 MEDICARE RAILROAD

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