Dr. William M Mentz
Pulmonary Disease
425 N Lee St 203
Jacksonville
, Florida 32204-1128
Dr. William M Mentz
Pulmonary Disease
425 N Lee St 203
Jacksonville
, Florida 32204-1128
(904) 354-1340
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. William M Mentz
- 425 N Lee St 203
- Jacksonville, FL
- Zip : 32204-1128
- Fax : (904) 354-1340
- Phone : (904) 354-8200
Second Address
- Dr. William M Mentz
- 425 N Lee St 203
- Jacksonville, FL
- Zip : 32204-1128
- Fax : (904) 354-1340
- Phone : (904) 354-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | ME44534 | FL |
National Provider Identifier
| NPI | 1043248461 |
|---|---|
| Provider Name | Dr. William M Mentz |
| First Address | Jacksonville, FL 32204-1128 |
| Second Address | Jacksonville, FL 32204-1128 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 28/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00349236A | MEDICAID OF GEORGIA (01) | GA |
| 051260500 | (05) | FL |
| 15877Z | BCBS OF FLORIDA (01) | FL |
| 2059877 | AETNA (01) | FL |
| D67135 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.