Individual
DR. SANJAY MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 10TH STREET N., ST. PETERSBURG, FL 33705-1407
(727) 824-7136
(727) 824-3171
Mailing address
PO BOX 12868, ST PETERSBURG, FL 33733-2868
(727) 824-8357
(727) 824-3132
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME109577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003812600
—
FL
Enumeration date
08/07/2007
Last updated
12/28/2012
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