Individual provider · Type 1 NPI
Jose Antonio Mendieta, APRN
Gerontology Nurse Practitioner · Hollywood, FL
NPI number
1881458784
Active
Practice location
1512 N 15th Ter
Hollywood, FL 33020-3247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | APRN11031146 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1881458784
Jose Antonio Mendieta, APRN's National Provider Identifier is 1881458784, issued on Feb 12, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Hollywood, FL. The record was last updated on Feb 25, 2025.