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Individual

ALEX MENENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 W GORE ST, STE 201, ORLANDO, FL 32806-1044
(407) 245-3124
(407) 245-3125
Mailing address
100 W GORE ST, STE 201, ORLANDO, FL 32806-1044
(407) 245-3124
(407) 245-3125

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0042963
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0056137
GHI
FL
01
0056237
AETNA PPO
FL
01
02985
BCBS
FL
01
0623362
AETNA-HMO
FL
01
1827672
PHCS
FL
01
209659
AVMED
FL
01
2900083
UNITED HEALTHCARE
FL
Enumeration date
02/21/2006
Last updated
07/08/2007
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