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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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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