| Dr Mariel Gonzalez-mendoza, MD | |
|
1305 Cleveland Ave Ste G, Wildwood, FL 34785-3605 | |
| (352) 913-2145 | |
| (352) 913-2146 |
| Full Name | Dr Mariel Gonzalez-mendoza |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 1305 Cleveland Ave Ste G, Wildwood, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194836825 | NPI | - | NPPES |
| 95554 | Other | FL | BCBS OF FLORIDA |
| AE544S | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME90507 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Medical Associates Llc | 0648271155 | 150 |
| Cora Health Services, Inc. | 1759290992 | 844 |
| Entity Name | Florida Medical Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336153709 PECOS PAC ID: 0648271155 Enrollment ID: O20070126000169 |
| Entity Name | Solantic Of Jacksonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Shands-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Entity Name | Carespot Of Orlando Hsi Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306367503 PECOS PAC ID: 8921372558 Enrollment ID: O20170921000186 |
| Entity Name | Vmd Primary Providers Central Florida Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134738974 PECOS PAC ID: 2860806197 Enrollment ID: O20210128001072 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mariel Gonzalez-mendoza, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (800) 480-5243 | Dr Mariel Gonzalez-mendoza, MD 1305 Cleveland Ave Ste G, Wildwood, FL 34785-3605 Ph: (352) 913-2145 |
Dr. Jerrold Randall Ecklind, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 S Main St Ste 2, Wildwood, FL 34785 Phone: 352-643-6699 Fax: 888-675-8377 |