Individual
MICHELLE MENENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCCA
Contact information
Practice address
N. PINELLAS CBOC VA, 1721 MAIN ST., DUNEDIN, FL 34698
(727) 734-5276
Mailing address
2122 SWAN LANE, SAFETY HARBOR, FL 34695
(727) 799-6770
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S9096
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/09/2006
Last updated
07/08/2007
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