Mendoza, Alfredo

Mendoza, Alfredo is an individual health care provider with primary practice located at 11912 Sheldon Rd , Tampa FL 33626-3643. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Hepatology, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Mendoza, Alfredo can be contacted via phone (813) 920-8882.

Contact Information

Primary practice address
11912 Sheldon Rd Tampa FL 33626-3643
Fax: (813) 920-8883
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Hepatology 207RT0003X ME92231 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0092231 Florida

Profile Details

NPI number 1649273871
LBN Legal business name Mendoza, Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 19th, 2021 - about 3 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 1649273871 NPPES
Florida MEDICAID 273425700

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