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Addis Tarrero Mendoza
NPI 1487138871 · on the registry since 2018 · sole proprietor
Practice
- Address
- 24801 Sw 130th Ave Apt 302
Princeton, FL 33032 - Phone
- (786) 720-1863
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida