MEDICARE: MISS GINA MENDEZ PA

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
1	363A00000X	Physician Assistant	PA58724	CA
2	363A00000X	Physician Assistant	012376	NY
3	363A00000X	Physician Assistant	PA9106567	FL

General Provider Information

NPI Number	:	1407174824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS GINA MENDEZ PA

Provider Business Mailing Address
First Line	:	PO BOX 951995
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32795-1995
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	844 W PLYMOUTH AVE
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-3284
Country	:	US
Telephone Number	:	866-326-7548
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2010
Last Update Date	:	10/01/2021

Similar Medicare Providers

1184568750 — DR. ALAIYA DEWJI BOCAS APRN, WHNP-BC
Practice Location Address:

850 W PLYMOUTH AVE
DELAND, FL
32720-3284

Practice Phone: 386-337-3190
Practice Fax:

1932168721 — HUSSAIN ESMAIL RAWJI MD
Practice Location Address:

850 W PLYMOUTH AVE
DELAND, FL
32720-3284

Practice Phone: 386-337-3190
Practice Fax: 386-337-3189

1912913633 — JAMES WILLIAM FITCH PA-C
Practice Location Address:

854 W PLYMOUTH AVE
DELAND, FL
32720-3284

Practice Phone: 386-736-3401
Practice Fax: 386-734-2935

1184637597 — DR. CHARLES TORRY SLAUGHTER III DMD
Practice Location Address:

856 W PLYMOUTH AVE
DELAND, FL
32720-3284

Practice Phone: 386-734-5615
Practice Fax: 386-736-7437

1124284161 — JACINTA F FELDMAN CNM
Practice Location Address:

850 W PLYMOUTH AVE
DELAND, FL
32720-3284

Practice Phone: 386-736-6110
Practice Fax: 386-736-7998

1942753116 — DR.RAWJI MD OB-GYNLLC
Practice Location Address:

850 W PLYMOUTH AVE
DELAND, FL
32720-3284

Practice Phone: 386-337-3190
Practice Fax: 386-337-3189

Directions to “ MISS GINA MENDEZ PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.