JOSE ANTONIO MENDIETA

HOLLYWOOD, FL
NPI1881458784
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  APRN11031146)
Enumeration Date2024-02-12
Last Update Date2025-02-25
Business Address
JOSE ANTONIO MENDIETA APRN
1512 N 15TH TER
HOLLYWOOD, FL 33020-3247
Phone number: 630-292-0949
Mailing Address
JOSE ANTONIO MENDIETA APRN
1512 N 15TH TER
HOLLYWOOD, FL 33020-3247
Phone number: 630-292-0949
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