John V Mendola M D

NPI #1174951198 in Lehigh Acres, Florida

Provider Information

NPI Number
1174951198
Entity Type
Organization
Organization Name
John V Mendola M D
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Oct 30, 2013
Last Updated
Oct 30, 2013

Practice Location

Address
10 BETH STACEY BLVD
Address 2
UNIT 104
State
Florida
ZIP Code
33936-6047
Phone
(201) 709-3586

Authorized Official

Name
DR. JOHN VINCENT MENDOLA, MD
Title
MD
Phone
(201) 709-3586

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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