Menezes, Ivan

Menezes, Ivan is an individual health care provider with primary practice located at 701 W Plymouth Ave , Deland FL 32720-3236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Menezes, Ivan can be contacted via phone (386) 943-4522.

Contact Information

Primary practice address
701 W Plymouth Ave Deland FL 32720-3236
Phone: (386) 943-4522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X ME78170 Florida

Profile Details

NPI number 1841273836
LBN Legal business name Menezes, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 24th, 2008 - about 16 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 1841273836 NPPES
Florida Other 58836 BC BS

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