LAURA MARIE MENDOZA (NPI# 1043567639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043567639 |
| Entity Type | Individual |
| Full Name | LAURA MARIE MENDOZA |
| Credential | D.O. |
| Practice Address |
220 Barton Blvd Unit C14 Rockledge FL 32955-2742 |
| Mailing Address |
Po Box 1137 Melbourne FL 32902-1137 |
| Practice Telephone | 3216395177 |
| Practice Fax Number | 3216394927 |
| Mailing Telephone | 3219529696 |
| Mailing Fax Number | 3219527937 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2014-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS6362 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154704039 | Laura Mendoza | Licensed Vocational Nurse | 320 S 1st Ave Apt 101, Oakdale, CA 95361-3936 | 2015-07-09 |
| 1568077337 | Laura Mendoza | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2020-09-09 |
| 1912521600 | Laura Elena Mendoza | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-05-29 |
| 1700370590 | Laura Vanessa Mendoza | Behavior Technician | 1730 W Walnut Ave, Visalia, CA 93277-6233 | 2018-06-15 |
| 1588156160 | Laura Mendoza | Behavior Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2018-05-31 |
| 1043720782 | Laura Catherine Mendoza | Physician Assistant | 3131 Daniels Rd Ste 106, Winter Garden, FL 34787-7013 | 2017-10-09 |
| 1508305962 | Laura Mendoza | Acupuncturist | 380 E Northwest Hwy, 2nd Floor, Des Plaines, IL 60016-2290 | 2017-02-17 |
| 1043599202 | Laura I Mendoza | Nurse Practitioner | 282 Benedict Ave, Ste B, Norwalk, OH 44857-2712 | 2011-08-05 |
| 1629294830 | Laura Mendoza | Marriage & Family Therapist | 4660 Viewridge Ave, San Diego, CA 92123-1638 | 2007-04-17 |
| 1780701755 | Laura F. Mendoza | Social Worker | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2007-03-23 |
| Street Address |
220 BARTON BLVD UNIT C14 |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289620 | Khaled A Mohamed | Family Medicine | 220 Barton Blvd, Unit C#14, Rockledge, FL 32955-2742 | 2006-03-22 |
| 1437772118 | Sarah Funaro | Dentist | 220 Barton Blvd, Rockledge, FL 32955-2742 | 2020-05-28 |
| 1639555766 | Catherine Casey | Social Worker | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2015-07-30 |
| 1467868570 | Kimberly Torres | Nurse Practitioner | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2014-07-09 |
| 1184964132 | Avril Asson | Nurse Practitioner | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2013-02-27 |
| 1639413925 | Brevard Health Alliance Inc | Clinic/Center | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2012-11-27 |
| 1730423021 | Brevard Health Alliance Inc | Clinic/Center | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2012-11-27 |
| 1578824421 | Justin Conrad Koenitzer | Psychologist | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2012-06-06 |
| 1306157706 | Hagen V. Hastings | Dentist | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2010-06-30 |
| 1861622763 | Deborah Ann Sibley | Nurse Practitioner | 220 Barton Blvd, Unit C14, Rockledge, FL 32955-2742 | 2009-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427113349 | Charles Martin Bolno | Family Medicine | 404b Huntingdon Pike, Rockledge, PA 19046-4448 | 2006-12-22 |
| 1518038447 | James A Aurand | Family Medicine | 3140 Suntree Blvd, Suite 5, Rockledge, FL 32955-5789 | 2006-11-13 |
| 1134146046 | Brevard Family Walk In Clinic LLC | Family Medicine | 1260 Us Highway 1, Rockledge, FL 32955-2728 | 2006-07-16 |
| 1073550950 | Jasen S Kobobel | Family Medicine | 1950 Rockledge Blvd Ste 101, Rockledge, FL 32955-2728 | 2006-06-01 |
| 1487602082 | Francis Afutu Ashie | Family Medicine | 1007 Beverly Dr, Suite C, Rockledge, FL 32955-2833 | 2006-05-05 |
| 1750339230 | Erich A Arias | Family Medicine | 1300 Florida Ave S, Rockledge, FL 32955-2482 | 2006-05-05 |
| 1245290840 | Vincent Sciortino | Family Medicine | 840 Executive Ln Ste 110, Rockledge, FL 32955-3519 | 2006-03-27 |
| 1144289620 | Khaled A Mohamed | Family Medicine | 220 Barton Blvd, Unit C#14, Rockledge, FL 32955-2742 | 2006-03-22 |
| 1558852715 | Brevard Integrated Health Center LLC | Family Medicine | 1211 Admiralty Blvd, Rockledge, FL 32955-5201 | 2018-05-23 |
| 1073990503 | Lauren Elise Moak Williams | Family Medicine | 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | 2015-05-05 |
| Find all providers in ROCKLEDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.