Provider Demographics
NPI:1811954688
Name:MENDOZA, APRIL SMITH (MD)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:SMITH
Last Name:MENDOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 NIGHTINGALE LN
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-4361
Mailing Address - Country:US
Mailing Address - Phone:352-742-3045
Mailing Address - Fax:
Practice Address - Street 1:2010 NIGHTINGALE LN
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4361
Practice Address - Country:US
Practice Address - Phone:352-742-3045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92232174400000X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00237245OtherMEDICARE RAILROAD
FL273600400Medicaid
FL03457OtherBCBS
FL03457IMedicare PIN
FL03457WMedicare PIN
FLCT618ZMedicare PIN
FL03457BMedicare PIN
FLP00237245OtherMEDICARE RAILROAD
FL03457AMedicare PIN
FL03457VMedicare PIN
FL03457DMedicare PIN
FLI35999Medicare UPIN
FL03457FMedicare PIN
FL03457GMedicare PIN
FL03457HMedicare PIN
FL03457EMedicare PIN
FLI35999Medicare UPIN