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NPI Code Detail

MEDICARE: ALAN D MENDELSOHN M.D.

MEDICARE:   ALAN D MENDELSOHN  M.D.
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
1207W00000XOphthalmology PhysicianME0047764FL

General Provider Information

NPI Number : 1053308460
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN D MENDELSOHN M.D.
Provider Business Mailing Address
First Line : 4651 SHERIDAN ST
Second Line : SUITE 100
City : HOLLYWOOD
State : FL
Zip : 33021-3457
Country : US
Telephone Number : 954-894-1500
Fax Number : 954-894-1526
Provider Business Practice Location Address
First Line : 4651 SHERIDAN ST
Second Line : SUITE 100
City : HOLLYWOOD
State : FL
Zip : 33021-3457
Country : US
Telephone Number : 954-894-1500
Fax Number : 954-894-1526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 01/07/2011

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