Individual
FELIPE ELIAS MC INNIS MENESES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1344 INDIANA AVE, WINTER PARK, FL 32789-4818
(689) 316-4933
Mailing address
1344 INDIANA AVE, WINTER PARK, FL 32789-4818
(689) 316-4933
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
25-316
FL
363A00000X
Physician Assistant
Primary
2876-P.A.
PR
363AS0400X
Surgical Physician Assistant
2876-P.A.
PR
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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