Individual
DR. JUAN ADALBERTO MENJIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
150 SE 17TH ST STE 100, OCALA, FL 34471
(352) 732-7900
(352) 732-7466
Mailing address
150 SE 17TH ST STE 100, OCALA, FL 34471-5177
(352) 732-7900
(352) 732-7466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1906L
BCBS FL
FL
Enumeration date
09/16/2008
Last updated
06/24/2024
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