Mendoza, Carolina

Mendoza, Carolina is an sole proprietor health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908-3618. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Mendoza, Carolina can be contacted via phone (239) 343-6260.

Contact Information

Primary practice address
9981 S Healthpark Dr Fort Myers FL 33908-3618
Phone: (239) 343-6260
Fax: (239) 343-6259
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME121357 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME121357 Florida

Profile Details

NPI number 1144519711
LBN Legal business name Mendoza, Carolina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2011
Last updated Jul 10th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144519711 NPPES
Florida MEDICAID 100074100

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