| Jose Mendez Md Pa | |
|
8615 Commodity Cir Ste 12 Orlando FL 32819 | |
| (407) 476-1212 | |
| (407) 476-1213 |
| Full Name | Jose Mendez Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 8615 Commodity Cir Ste 12, Orlando, Florida |
| Authorized Official Name and Position | Jose Y Mendez (PRESIDENT) |
| Authorized Official Contact | 4077383030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Mendez Md Pa 8615 Commodity Cir Ste 12 Orlando FL 32819-9072 Ph: (407) 476-1212 | Jose Mendez Md Pa 8615 Commodity Cir Ste 12 Orlando FL 32819 Ph: (407) 476-1212 |
| NPI Number | 1407100951 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 07/30/2020 |
| Medicare PECOS PAC ID | 8224281910 |
|---|---|
| Medicare Enrollment ID | O20130108000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407100951 | NPI | - | NPPES |
| 005210100 | Medicaid | FL | |
| 14M9E | Other | FL | FLORIDA BLUE |
| Provider Name | Jose A Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669702270 PECOS PAC ID: 3173668142 Enrollment ID: I20100302000182 |
| Provider Name | Jose Y Mendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912195017 PECOS PAC ID: 8729234257 Enrollment ID: I20120815000576 |
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