Healthcare Provider Details

I. General information

NPI: 1649421215
Provider Name (Legal Business Name): DONNA MENEZES-ENOS ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 09/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11079 SPRING HILL DR
SPRING HILL FL
34608-5000
US

IV. Provider business mailing address

10417 SPRING HILL DR
SPRING HILL FL
34608-5043
US

V. Phone/Fax

Practice location:
  • Phone: 352-683-9499
  • Fax:
Mailing address:
  • Phone: 352-515-6121
  • Fax: 352-515-6769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP3829
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: