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NPI Code Detail

MEDICARE: DR. ELVIN M MENDEZ MD

MEDICARE: DR. ELVIN M MENDEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology PhysicianME64431FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
147861OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003800939
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELVIN M MENDEZ MD
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 941-255-3722
Fax Number : 941-255-3723
Provider Business Practice Location Address
First Line : 22655 BAYSHORE RD
Second Line : STE 130
City : PORT CHARLOTTE
State : FL
Zip : 33980-2005
Country : US
Telephone Number : 941-255-3722
Fax Number : 941-255-3723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 03/30/2021

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Directions to “ DR. ELVIN M MENDEZ MD” Practice Location

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