Individual
JESSENIA MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
260 SW NATURA AVE UNIT 101, DEERFIELD BEACH, FL 33441-3026
(954) 799-9600
Mailing address
2899 COLLINS AVE APT 504, MIAMI BEACH, FL 33140-4410
(954) 646-7714
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
9119133
FL
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2024
Last updated
10/29/2024
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