Mena, Maria Magdalena
Mena, Maria Magdalena is an sole proprietor health care provider with primary practice located at 733 North 3Rd Street , Leesburg FL 34748-4441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mena, Maria Magdalena can be contacted via phone (352) 435-7772.Contact Information
Primary practice address
733 North 3Rd Street
Leesburg FL 34748-4441
Phone: (352) 435-7772
Fax: (352) 435-7553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME 69780 | Florida |
Profile Details
| NPI number | 1306839378 |
|---|---|
| LBN Legal business name | Mena, Maria Magdalena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2005 |
| Last updated | May 24th, 2019 - about 6 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 | 1306839378 | NPPES |
| Florida | MEDICAID | 379673600 |
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