# ALLISON V MENEZES MD PLLC

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

## Provider details

- **NPI number:** 1649475278
- **Authorized official:** DR. ALLISON VIRGINIA MENEZES MD (MANAGING MEMBER)
- **Authorized official phone:** (941) 921-6161

## Contact information

- **Practice address:** 6040 53RD AVE E UNIT A, BRADENTON, FL 34203-9720
- **Practice address phone:** (941) 921-6161
- **Practice address fax:** (866) 456-4659
- **Mailing address:** 4855 FEATHERBED LN, SARASOTA, FL 34242-1558
- **Mailing address phone:** (941) 921-6161
- **Mailing address fax:** (866) 456-4659

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME65322 | FL | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 03/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AD135 | MEDICARE GROUP NUMBER | FL |
| 01 | — | DF8545 | RAILROAD MEDICARE | FL |