Mena, Luisa Ozema
Mena, Luisa Ozema is an individual health care provider with primary practice located at 4930 E Lake Mary Blvd , Sanford FL 32771-5003. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mena, Luisa Ozema can be contacted via phone (407) 322-8645.Contact Information
Primary practice address
4930 E Lake Mary Blvd
Sanford FL 32771-5003
Phone: (407) 322-8645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN653 | Florida |
Profile Details
| NPI number | 1700291176 |
|---|---|
| LBN Legal business name | Mena, Luisa Ozema |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2014 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700291176 | NPPES |
| Florida | MEDICAID | 014885600 |
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