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NPI Code Detail

MEDICARE: MARIA MENENDEZ

MEDICARE:   MARIA  MENENDEZ
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
1363LF0000XFamily Nurse PractitionerARNP3035432FL

General Provider Information

NPI Number : 1356532253
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA MENENDEZ
Provider Business Mailing Address
First Line : 161 WASHINGTON ST
Second Line : EIGHT TOWER BRIDGE STE 1400
City : CONSHOHOCKEN
State : PA
Zip : 19428-2083
Country : US
Telephone Number : 866-825-3227
Fax Number : 484-450-2617
Provider Business Practice Location Address
First Line : 4200 SW 8TH ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-2619
Country : US
Telephone Number : 866-825-3227
Fax Number : 484-450-2617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2007
Last Update Date : 08/06/2007

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Directions to “ MARIA MENENDEZ ” Practice Location

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