C. E. Mendez Foundation, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

C. E. MENDEZ FOUNDATION, INC.

Practice address

601 S Magnolia Ave
Tampa, FL 33606-2725

Phone

(813) 251-3600

Fax

(813) 251-3237

NPI assigned

Jun 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leon T Dragon Jr.

Title

Business Manager

Phone

(813) 251-3600

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043417678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAGNOLIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062725",
            "telephone_number": "813-251-3600",
            "fax_number": "813-251-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S MAGNOLIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062725",
            "telephone_number": "813-251-3600",
            "fax_number": "813-251-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. E. MENDEZ FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAGON",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "813-251-3600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.