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Organization
MENENDEZ & FAMILY CORP
Active
Organization
MENENDEZ & FAMILY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM MENENDEZ MD (AUTHORIZED OFFICAL)
(939) 332-8801
Entity
Organization
Contact information
Practice address
2172 NE 123RD ST, NORTH MIAMI, FL 33181-2902
(786) 542-5140
Mailing address
2172 NE 123RD ST, NORTH MIAMI, FL 33181-2902
(786) 542-5140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
ME124889
FL
Enumeration date
03/26/2021
Last updated
03/26/2021
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