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General NPI Number Information
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NPI Number | 1780952143
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Entity Type | Organization
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Legal Business Name | SERGIO MENENDEZ-APONTE,MD,PA
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 120 BENMORE DR
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City | WINTER PARK
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State | FL
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Zip | 32792-4101
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Country | US
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Telephone | 407-645-5998
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Fax | 407-645-3301
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Provider Business Mailing Address
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Address Line | 120 BENMORE DR
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City | WINTER PARK
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State | FL
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Zip | 32792-4101
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Country | US
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Telephone | 407-645-5998
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Fax | 407-645-3301
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SERGIO LUIS MENENDEZ-APONTE
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Credential | M.D.
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Telephone | 407-645-5998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME0048035
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License Number State | FL
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