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NPI Code Detail

MEDICARE: DR. JOSE C MENENDEZ MD

MEDICARE: DR. JOSE C MENENDEZ 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
1208D00000XGeneral Practice PhysicianACN265FL

General Provider Information

NPI Number : 1548246291
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE C MENENDEZ MD
Provider Business Mailing Address
First Line : 3358 W SOUTHPORT RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-2706
Country : US
Telephone Number : 407-343-0006
Fax Number : 407-343-0881
Provider Business Practice Location Address
First Line : 3358 W SOUTHPORT RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-2706
Country : US
Telephone Number : 407-343-0006
Fax Number : 407-343-0881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 09/14/2010

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Directions to “ DR. JOSE C MENENDEZ MD” Practice Location

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