Mendieta, Jose Antonio
Mendieta, Jose Antonio is an sole proprietor health care provider with primary practice located at 1512 N 15Th Ter , Hollywood FL 33020-3247. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Mendieta, Jose Antonio can be contacted via phone (630) 292-0949.Contact Information
Primary practice address
1512 N 15Th Ter
Hollywood FL 33020-3247
Phone: (630) 292-0949
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN11031146 | Florida |
Profile Details
| NPI number | 1881458784 |
|---|---|
| LBN Legal business name | Mendieta, Jose Antonio |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2024 |
| Last updated | Feb 12th, 2024 - about 10 months 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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