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Organization
ALLISON V MENEZES MD PLLC
Active
Organization
ALLISON V MENEZES MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLISON VIRGINIA MENEZES MD (MANAGING MEMBER)
(941) 921-6161
Entity
Organization
Contact information
Practice address
6040 53RD AVE E UNIT A, BRADENTON, FL 34203-9720
(941) 921-6161
(866) 456-4659
Mailing address
4855 FEATHERBED LN, SARASOTA, FL 34242-1558
(941) 921-6161
(866) 456-4659
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME65322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD135
MEDICARE GROUP NUMBER
FL
01
—
DF8545
RAILROAD MEDICARE
FL
Enumeration date
06/14/2007
Last updated
03/17/2008
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