Mendoza, Julie Carvajal
Mendoza, Julie Carvajal is an individual health care provider with primary practice located at 3030 W. Dr. Mlk Jr. Blvd , Tampa FL 33607-6308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Mendoza, Julie Carvajal can be contacted via phone (813) 879-4730.Contact Information
Primary practice address
3030 W. Dr. Mlk Jr. Blvd
Tampa FL 33607-6308
Phone: (813) 879-4730
Fax: (954) 858-0404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 01039053 | Indiana |
Profile Details
| NPI number | 1164477980 |
|---|---|
| LBN Legal business name | Mendoza, Julie Carvajal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Nov 28th, 2011 - about 13 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 | 1164477980 | NPPES |
| Florida | MEDICAID | 279968500 | |
| Florida | MEDICAID | 200198930 | |
| Florida | MEDICAID | 0859334 | |
| Florida | MEDICAID | 3495805 |
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