Organization
JUAN A MENJIVAR OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN A MENJIVAR O.D. (PRESIDENT)
(281) 630-6052
Entity
Organization
Contact information
Practice address
180 S KNOWLES AVE, WINTER PARK, FL 32789-7009
(407) 629-2020
Mailing address
1414 SE 8TH ST, OCALA, FL 34471-4057
(281) 630-6052
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4351
FL
Other
Enumeration date
08/26/2009
Last updated
02/06/2013
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