Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN9227722 | FL |
NPI | 1003329152 |
---|---|
Provider Name | Bella Gleiser Mendez |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-5429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2017 |
Last Update Date | 17/03/2021 |