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1538199203
NICOLE LEA MENDOZA
TAMPA, FL
NPI
1538199203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: FL AA388)
Enumeration Date
2006-07-05
Last Update Date
2022-07-21
Business Address
-- NICOLE LEA MENDOZA AA
3001 W. DR. MARTIN LUTHER KING JR. BLVD.
TAMPA, FL 33607-6307
Phone number: 813-350-7244
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Mailing Address
-- NICOLE LEA MENDOZA AA
PO BOX 551420
FORT LAUDERDALE, FL 33355-1420
Phone number: 800-243-3839
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