Rolando Emmanuel Perez Mendez, DC | |
1008 Park Avenue Orange Park, Suite, Jacksonville, FL 32073 | |
(904) 375-9429 | |
Not Available |
Full Name | Rolando Emmanuel Perez Mendez |
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Gender | Male |
Speciality | Chiropractor |
Location | 1008 Park Avenue Orange Park, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972109304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 13321 (Florida) | Primary |
Provider Name | Atm Healthcare, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447609011 PECOS PAC ID: 4486048055 Enrollment ID: O20220224000647 |
Mailing Address | Practice Location Address |
---|---|
Rolando Emmanuel Perez Mendez, DC 5609 Victoria Gardens Blvd Apt 1204, Port Orange, FL 32127-8973 Ph: (787) 383-8685 | Rolando Emmanuel Perez Mendez, DC 1008 Park Avenue Orange Park, Suite, Jacksonville, FL 32073 Ph: (904) 375-9429 |
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