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NPI Code Detail

MEDICARE: MENSURE EFE MD

MEDICARE: MENSURE EFE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramTRN44781FL

General Provider Information

NPI Number : 1205764222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MENSURE EFE MD
Provider Business Mailing Address
First Line : 3400 GULF TO BAY BLVD
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-4514
Country : US
Telephone Number : 813-574-5417
Fax Number :
Provider Business Practice Location Address
First Line : 13800 VETERANS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7401
Country : US
Telephone Number : 781-996-8641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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