Most Relevant Information
Provider Data
| NPI Number: | 1003800939 |
| Provider Name: | ELVIN M MENDEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207K00000X |
| Specialty: | Allergy & Immunology |
| License Number: | ME64431 |
Most Important Dates
| Enumeration Date: | 09/07/2005 |
| Last Updated: | 03/30/2021 |
Provider Practice Location
22655 BAYSHORE RD
STE 130
PORT CHARLOTTE
FL
339802005
Practice Location Phone/Fax
| Phone: | 9412553722 |
| Fax: | 9412553723 |
Provider Mailing Location
PO BOX 2147
FORT MYERS
FL
339022147
Provider Mailing Phone/Fax
| Phone: | 9412553722 |
| Fax: | 9412553723 |