Maria M Mena Md

LBN: Maria M Mena Md
Maria M Mena Md is an health care organization with primary practice located at 401 E North Blvd Suite 101, Leesburg FL 34748-5262. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Maria M Mena Md can be contacted via phone (352) 435-7772, or through Mena, Maria Magdalena via phone (352) 435-7772.

Contact Information

Primary practice address
401 E North Blvd Suite 101 Leesburg FL 34748-5262
Fax:
Website:
Authorized official contact:
Name: Mena, Maria Magdalena Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1184961898
LBN Legal business name Maria M Mena Md
DBA Doing business as
Authorized official Mena, Maria Magdalena Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2013
Last updated Jan 15th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184961898 NPPES
Florida MEDICAID 007161200

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