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Individual

DR. EMMANUEL N MENGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 NW 14TH ST STE 1263, MIAMI, FL 33136-2107
(305) 243-3208
(585) 756-4726
Mailing address
1120 NW 14TH ST STE 1263, MIAMI, FL 33136-2107
(305) 243-3208

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Q4466
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
165837
FL
207XX0801X
Orthopaedic Trauma Physician
288799
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
348923901
TX
01
348923902
CSHCN
TX
Enumeration date
05/13/2009
Last updated
04/03/2024
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