Individual
MICHELL MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(786) 878-4786
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(786) 878-4786
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
18-65920
FL
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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