Mena, Rosa M.

Mena, Rosa M. is an individual health care provider with primary practice located at 21216 Olean Blvd Ste 8, Port Charlotte FL 33952-6722. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mena, Rosa M. can be contacted via phone (941) 883-3225.

Contact Information

Primary practice address
21216 Olean Blvd Ste 8 Port Charlotte FL 33952-6722
Phone: (941) 883-3225
Fax: (941) 883-3230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME72395 Florida

Profile Details

NPI number 1568465342
LBN Legal business name Mena, Rosa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568465342 NPPES
Florida Other P00128080 RAILROAD MEDICARE
Florida Other 41399 RAILROAD MEDICARE
Florida Other 2379480 RAILROAD MEDICARE
Florida Other 2416243 RAILROAD MEDICARE

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