Organization
ALEX MENENDEZ MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MEDINA (BILLING MANAGER)
(407) 245-3124
Entity
Organization
Contact information
Practice address
100 W GORE ST, SUITE 201, ORLANDO, FL 32806-1044
(407) 245-3124
(407) 245-3125
Mailing address
100 W. GORE STREET, SUITE 201, ORLANDO, FL 32806
(407) 245-3124
(407) 245-3125
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AM2317697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046594100
—
FL
Enumeration date
09/18/2007
Last updated
09/18/2007
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