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Individual

ANDRES MENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1608 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-5719
(954) 489-1345
(954) 489-1052
Mailing address
1608 E COMMERCIAL BLVD, OAKLAND PARK, FL 33334-5719
(954) 489-1345
(954) 489-1052

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME72567
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253204200
FL
Enumeration date
05/31/2005
Last updated
09/19/2011
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