MR. JONATHAN F MENDOZA (NPI# 1063914968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063914968 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN F MENDOZA |
| Practice Address |
108 N Coopers Hawk Way Palm Coast FL 32164-2312 |
| Practice Telephone | 4079530646 |
| Mailing Telephone | 4079530646 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782364 | Jonathan Carlos Mendoza | Behavior Technician | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2020-02-19 |
| 1760942742 | Jonathan David Mendoza | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2019-03-25 |
| 1639492945 | Jonathan Omar Mendoza | Chiropractor | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2010-03-02 |
| Street Address |
108 N COOPERS HAWK WAY |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811496920 | Kristen M Mendoza | Specialist/Technologist, Other | 108 N Coopers Hawk Way, Palm Coast, FL 32164-2312 | 2018-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969822 | Bonnye Melissa Guidry | Specialist/Technologist | 104 Bessemer Cir, Brandon, FL 33511-7953 | 2019-12-12 |
| 1396396792 | Genesis 2 Naturals LLC | Specialist/Technologist | 1746 E Silver Star Rd Ste 121, Ocoee, FL 34761-7014 | 2019-09-26 |
| 1942850698 | Brittany Renee Stamm | Specialist/Technologist | 4635 Barchetta Dr, Land O Lakes, FL 34639-9593 | 2019-09-15 |
| 1962968701 | Justin Klotz | Specialist/Technologist | 3205 E Olive Rd Apt 57, Pensacola, FL 32514-6272 | 2019-02-18 |
| 1073045829 | Alessandra Esnard | Specialist/Technologist | 5825 Sw 60th Ave, South Miami, FL 33143-2235 | 2017-03-31 |
| 1952832198 | Shanta Simpson | Specialist/Technologist | 4217 Trumpworth Ct, Valrico, FL 33596-8494 | 2017-03-21 |
| 1518412592 | Morgan Lee Maya | Specialist/Technologist | 6335 S Renellie Ct, Tampa, FL 33616-1338 | 2016-08-19 |
| 1730555343 | Nelly Escobar | Specialist/Technologist | 1129 Big Creek Dr, Wesley Chapel, FL 33544-7630 | 2015-08-18 |
| 1730561663 | Michael Bush | Specialist/Technologist | 1090 E Eau Gallie Blvd, Indian Harbour Beach, FL 32937-4917 | 2015-06-27 |
| 1508287731 | Ari Gronich | Specialist/Technologist | 306 Orange St, Melbourne Beach, FL 32951-2628 | 2013-12-13 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32164 |
Please comment or provide details below to improve the information on MR. JONATHAN F MENDOZA.
| 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.