Individual provider · Type 1 NPI
Luis O. Aponte Mendoza, PA
Surgical Physician Assistant · Leesburg, FL
NPI number
1891278875
Active
Practice location
704 Doctors Ct., Suite 101
Leesburg, FL 34748
Fax (352) 728-0558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1891278875
Luis O. Aponte Mendoza, PA's National Provider Identifier is 1891278875, issued on Sep 14, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Leesburg, FL. The record was last updated on Sep 14, 2018.