Individual
ANNE MARIE MENJIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1500 SE MAGNOLIA EXT, SUITE 101, OCALA, FL 34471-4463
(352) 622-5183
(352) 622-2720
Mailing address
3130 SW 32ND AVE, OCALA, FL 34474-4445
(352) 622-5183
(352) 622-2720
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPC 4393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001244700
—
FL
Enumeration date
06/12/2008
Last updated
10/19/2011
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