| Mr Harry Diaz Mendez, MD | |
|
6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907-1900 | |
| (321) 724-1172 | |
| (321) 984-1695 |
| Full Name | Mr Harry Diaz Mendez |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6100 Minton Rd Nw Ste 104, Palm Bay, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396725727 | NPI | - | NPPES |
| IF714Z | Other | FL | MEDICARE |
| 120528400 | Medicaid | FL | |
| 150QQ | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME124433 (Florida) | Primary |
| Entity Name | Omni Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191323 PECOS PAC ID: 5496652380 Enrollment ID: O20031218000059 |
| Entity Name | Suntree Internal Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700947884 PECOS PAC ID: 1951378694 Enrollment ID: O20040913001133 |
| Entity Name | Chen Neighborhood Medical Centers Of South Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881024800 PECOS PAC ID: 2860623436 Enrollment ID: O20140324001909 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Harry Diaz Mendez, MD 1344 S Apollo Blvd Ste 406, Melbourne, FL 32901-3185 Ph: (321) 727-2990 | Mr Harry Diaz Mendez, MD 6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907-1900 Ph: (321) 724-1172 |
Dr. Thomas L Garvin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5270 Babcock St Ne, Ste 1, Palm Bay, FL 32905 Phone: 321-722-5959 Fax: 321-722-5960 | |
Dr. Ming Tao Lai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Malabar Rd Se, Ste 2, Palm Bay, FL 32907 Phone: 321-768-2356 Fax: 321-726-6388 | |
Dr. Edwin Chan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-576-0645 Fax: 321-409-6812 | |
Mr. German Castro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1091 Port Malabar Blvd Ne Suite-1, Palm Bay, FL 32905 Phone: 321-728-7222 Fax: 321-728-8823 | |
Mrs. Lisa Lee Cordova, MSN, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909 Phone: 772-226-6868 | |
Dr. Richard Hernandez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907 Phone: 321-724-1172 Fax: 321-984-7695 | |
Frederick Peterson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw, Ste104, Palm Bay, FL 32907 Phone: 321-724-1172 Fax: 321-724-9024 |