Mendoza Fonseca, Guillermo Alfredo

Mendoza Fonseca, Guillermo Alfredo is an individual health care provider with primary practice located at 2572 W State Road 426 Ste 3040 , Oviedo FL 32765-8389. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Mendoza Fonseca, Guillermo Alfredo can be contacted via phone (407) 890-9748.

Contact Information

Primary practice address
2572 W State Road 426 Ste 3040 Oviedo FL 32765-8389
Phone: (407) 890-9748
Fax: (407) 890-9819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME117112 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD12761 Rhode Island
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME117112 Florida

Profile Details

NPI number 1285898288
LBN Legal business name Mendoza Fonseca, Guillermo Alfredo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285898288 NPPES
Florida Other ME117112 MEDICAL LICENSE
Florida MEDICAID 009890300 MEDICAL LICENSE

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