Provider Demographics
NPI:1053308460
Name:MENDELSOHN, ALAN D (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:D
Last Name:MENDELSOHN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4651 SHERIDAN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3457
Mailing Address - Country:US
Mailing Address - Phone:954-894-1500
Mailing Address - Fax:954-894-1526
Practice Address - Street 1:4651 SHERIDAN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3457
Practice Address - Country:US
Practice Address - Phone:954-894-1500
Practice Address - Fax:954-894-1526
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2011-01-07
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Provider Licenses
StateLicense IDTaxonomies
FLME0047764207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology