Individual
EDWIN S. MENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N US HIGHWAY 441, SUITE 810, THE VILLAGES, FL 32159-8975
(352) 674-8700
(352) 674-8714
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8700
(352) 674-8714
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13681
NH
208600000X
Surgery Physician
231399
MA
208600000X
Surgery Physician
Primary
ME88439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270045000
—
FL
Enumeration date
06/21/2006
Last updated
02/10/2015
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