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Jose Antonio Mendieta, APRN
Gerontology Nurse Practitioner in Hollywood, Florida
NPI 1881458784

Jose Antonio Mendieta is a Gerontology Nurse Practitioner based in Hollywood, FL and is specialized in Gerontology. Jose Antonio Mendieta practices in Hollywood, FL and has the professional credentials of APRN. The NPI Number for Jose Antonio Mendieta is 1881458784 and holds a License No. APRN11031146 (Florida).

The current practice location address for Jose Antonio Mendieta is 1512 N 15Th Ter, Hollywood, FL and can be reached out via phone at 630-292-0949.

Location: 1512 N 15Th Ter, Hollywood, FL, 33020-3247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881458784
Provider Name
Jose Antonio Mendieta
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1512 N 15Th Ter, Hollywood, FL, 33020-3247
Phone Number
630-292-0949
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1512 N 15Th Ter
City
Hollywood
State
Florida
Zip
33020-3247
Phone Number
630-292-0949
Fax Number
person
Provider Business Mailing Address Details
Address
1512 N 15Th Ter
City
Hollywood
State
Florida
Zip
33020-3247
Phone Number
630-292-0949
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
APRN11031146 (Florida)
Definition
Definition to come...
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