# JOLI ENTERPRISES OF BREVARD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538473509
- **Authorized official:** DR. LOUISE M MENASHE M.D. (PARTNER)
- **Authorized official phone:** (321) 499-3413

## Contact information

- **Practice address:** 2880 GRANT RD, GRANT VALKARIA, FL 32949-8115
- **Practice address phone:** (321) 499-3413
- **Mailing address:** 2880 GRANT RD, GRANT VALKARIA, FL 32949-8115
- **Mailing address phone:** (321) 499-3413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME0076426 | FL | Yes |

## Other

- **Enumeration date:** 08/02/2010
- **Last updated:** 06/16/2016