Vicente A Mendez (NPI# 1740257773, PAC ID# 8325015670) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740257773 |
| PAC ID by PECOS | 8325015670 |
| Professional Enrollment ID | I20100309000462 |
| Full Name | Vicente A Mendez |
| Organization Legal Name | NORTH OKALOOSA CLINIC CORP |
| Address |
130 E Redstone Ave Crestview FL 32539-5348 |
| Phone Number | 8503988725 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244205565 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 130 E Redstone Ave, Crestview, FL 32539-5348 | 8503988725 | NORTH OKALOOSA CLINIC CORP |
| 1507 Merchants Way, Suite A, Niceville, FL 32578-9728 | 8508973600 | NORTH OKALOOSA CLINIC CORP |
| Organization Legal Name | NORTH OKALOOSA CLINIC CORP |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Liza Ann Eiriksson | Nurse Practitioner | North Okaloosa Clinic Corp | 1200 Henley Ln, Baker, FL 32531-2702 |
| Gregory A Coates | Obstetrics/gynecology | North Okaloosa Clinic Corp | 550 Redstone W Ave, Crestview, FL 32536-6457 |
| Michelle H Vandenbosch | Emergency Medicine | North Okaloosa Clinic Corp | 1507 Merchants Way, Suite A, Niceville, FL 32578-9728 |
| David Dean | Orthopedic Surgery | North Okaloosa Clinic Corp | 550 Redstone W Ave, Suite 470, Crestview, FL 32536-6457 |
| Jacob Randall Lassiter | Obstetrics/gynecology | North Okaloosa Clinic Corp | 550 Redstone W Ave, Crestview, FL 32536-6457 |
| Andrew Horowitz | Urology | North Okaloosa Clinic Corp | 151 E Redstone Ave, Crestview, FL 32539-5352 |
| Bonnie L Grundel | Physician Assistant | North Okaloosa Clinic Corp | 550 Redstone W Ave, Crestview, FL 32536-6457 |
| Janet Hamby | Obstetrics/gynecology | North Okaloosa Clinic Corp | 550 Redstone W Ave, Crestview, FL 32536-6457 |
| Daran J Mason | General Surgery | North Okaloosa Clinic Corp | 550 W Redstone Ave, Suite 410, Crestview, FL 32539-4657 |
| Lauren Blake Estep | Physician Assistant | North Okaloosa Clinic Corp | 151 E Redstone Ave, Crestview, FL 32539-5352 |
| Street Address |
130 E REDSTONE AVE |
| City | CRESTVIEW |
| State | FL |
| Zip | 32539-5348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla J Bulla | Physical Therapy | 521 E Cedar Ave, Crestview, FL 32539-2803 | |
| Tanesha N Turner | Nurse Practitioner | Minute Clinic LLC | 302 E James Lee Blvd, Crestview, FL 32539-2827 |
| Sally A Cooper | Family Medicine | Florida Department of Health | 810 E James Lee Blvd, Crestview, FL 32539-3118 |
| Michelle L Milligan | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Nina J Gawlik | Psychologist, Clinical | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Lisa Burner | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Trista Shari Moffett | Clinical Social Worker | Ppcc, Inc. | 259 E Oakdale Ave, Crestview, FL 32539-3547 |
| Daran J Mason | General Surgery | North Okaloosa Clinic Corp | 550 W Redstone Ave, Suite 410, Crestview, FL 32539-4657 |
| David A Norfleet | Anesthesiology | Okaloosa Pain Consultants P A | 150 E Redstone Ave, Crestview, FL 32539-5322 |
| Ian L Weisberg | Cardiac Electrophysiology | Okaloosa Cardiology P A | 129 E Redstone Ave, Suite A, Crestview, FL 32539-5350 |
| Find all physicians in zip 32539 | |||
| City | CRESTVIEW |
| Zip Code | 32539 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CRESTVIEW + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Vicente A Mendez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.