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NPI Code Detail

MEDICARE: LUISA OZEMA MENA M.D.

MEDICARE: LUISA OZEMA MENA M.D.
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 PhysicianME152059FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700291176
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUISA OZEMA MENA M.D.
Provider Business Mailing Address
First Line : 801 N MAGNOLIA AVE STE 106
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3841
Country : US
Telephone Number : 321-800-2922
Fax Number :
Provider Business Practice Location Address
First Line : 801 N MAGNOLIA AVE STE 106
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3841
Country : US
Telephone Number : 321-800-2922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2014
Last Update Date : 06/11/2025

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