DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JONATHAN F MENDOZA

Active Sole Proprietor

Athletic Trainer · PALM COAST, FL

Registration Details

NPI Number
1063914968
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2018 (8.1290365217311 yrs)
Last Updated
Mar 6, 2018
Sole Proprietor
Yes

Practice Information

Address
108 N COOPERS HAWK WAY
PALM COAST, FL, 321642312
Browse FL providers · Browse ZIP 32164
Phone
4079530646
Primary Specialty
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.