Mendieta, Mariela Carla
Mendieta, Mariela Carla is an individual health care provider with primary practice located at 3775 N Lecanto Hwy , Beverly Hills FL 34465-3559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mendieta, Mariela Carla can be contacted via phone (352) 746-0600.Contact Information
Primary practice address
3775 N Lecanto Hwy
Beverly Hills FL 34465-3559
Phone: (352) 746-0600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
NPI number | 1225786239 |
---|---|
LBN Legal business name | Mendieta, Mariela Carla |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2022 |
Last updated | Mar 17th, 2022 - about 2 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 | 1225786239 | NPPES |
Other | NONE | NONE |
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