Menchavez, Antonio B

Menchavez, Antonio B is an individual health care provider with primary practice located at 1800 Se Tiffany Ave , Port St Lucie FL 34952-7521. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Menchavez, Antonio B can be contacted via phone (772) 335-2471.

Contact Information

Primary practice address
1800 Se Tiffany Ave Port St Lucie FL 34952-7521
Phone: (772) 335-2471
Fax: (772) 335-2497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X ARNP 1349432 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1349432 Florida

Profile Details

NPI number 1043328263
LBN Legal business name Menchavez, Antonio B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 31st, 2013 - about 11 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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