Individual
MRS. PAMELA LYNN MENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 W BROADWAY ST STE 205, OVIEDO, FL 32765-9262
(407) 706-1650
(407) 706-1651
Mailing address
1000 W BROADWAY ST STE 205, OVIEDO, FL 32765-9262
(407) 706-1650
(407) 706-1651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9218749
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9218749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309144900
—
FL
01
—
9218749
ARNP
FL
01
—
P00881846
RR MEDICARE
FL
01
—
Y07ZR
BCBS FL
FL
Enumeration date
04/06/2007
Last updated
10/08/2020
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