| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MIGDELIS MENDOZA | 1841077179 | 2023-09-11 |
Migdelis Mendoza is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1841077179.
| Entity Type | Individual |
| Provider Name | Migdelis Mendoza |
| Practice Office Address | 1397 MEDICAL PARK BLVD STE 100 WELLINGTON, FL US |
| Practice Office Telephone | 8446654827 |
| Mailing Address | 13289 EMERALD VIEW CT WELLINGTON, FL 334147959 US |
| Code | Practice | License No State |
|---|---|---|
| 171400000X PRIMARY |