MEDICARE: DANIELLE MENDEZ

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	183500000X	Pharmacist	PS65155	FL

General Provider Information

NPI Number	:	1922868728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MENDEZ

Provider Business Mailing Address
First Line	:	17410 NW 82ND CT
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-3609
Country	:	US
Telephone Number	:	305-409-3566
Fax Number	:

Provider Business Practice Location Address
First Line	:	1285 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-8314
Country	:	US
Telephone Number	:	754-240-6239
Fax Number	:

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

Provider Enumeration Date	:	03/20/2024
Last Update Date	:	03/20/2024

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Directions to “ DANIELLE MENDEZ ” Practice Location

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