Healthcare Provider Details

I. General information

NPI: 1164520243
Provider Name (Legal Business Name): OSCAR MENDEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 W OAKLAND PARK BLVD STE 300
LAUDERHILL FL
33313-1260
US

IV. Provider business mailing address

5950 W OAKLAND PARK BLVD STE 300
LAUDERHILL FL
33313-1260
US

V. Phone/Fax

Practice location:
  • Phone: 954-717-4066
  • Fax: 954-717-4069
Mailing address:
  • Phone: 954-717-4066
  • Fax: 954-717-4069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME98741
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: