Provider Demographics
NPI:1316722705
Name:MENDEZ, ORLANDO J
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:J
Last Name:MENDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8551 PANAMA CITY BEACH PKWY APT 6307
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32407-4091
Mailing Address - Country:US
Mailing Address - Phone:407-569-5275
Mailing Address - Fax:
Practice Address - Street 1:8551 PANAMA CITY BEACH PKWY APT 6307
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32407-4091
Practice Address - Country:US
Practice Address - Phone:407-569-5275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)