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1740202456
MICHELLE RENAE MENDEZ
JACKSONVILLE BEACH, FL
NPI
1740202456
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Former Name
MICHELLE RENAE EDSROM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS7488)
Enumeration Date
2006-07-24
Last Update Date
2023-06-09
Business Address
MICHELLE RENAE MENDEZ D.O.
1909 BEACH BLVD SUITE 102
JACKSONVILLE BEACH, FL 32250-8608
Phone number: 904-246-2752
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Mailing Address
MICHELLE RENAE MENDEZ D.O.
PO BOX 440055
JACKSONVILLE, FL 32222-0001
Phone number: 904-282-6331
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