Maria M Mena Md
Pediatric Adolescent Medicine
Maria M Mena Md is a Leesburg, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
401 E North Blvd, Suite 101, Leesburg, Florida - 34748-5262. They can be contacted on phone at
352-435-7772.
NPI number (Unique professional ID) for Maria M Mena Md is
1184961898 which was assigned by NPPES on 15 Jan, 2013 and it was last updated on 15 Jan, 2013.
Maria M Mena Md specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Maria M Mena Md basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Maria M Mena Md |
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Business Address:
Maria M Mena Md address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 401 E North Blvd, Suite 101
Leesburg, FL, 34748-5262
United States |
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| Phone Number : | 352-435-7772 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184961898 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 15 Jan, 2013 |
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| Last Updated On : | 15 Jan, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Mariamagdalena Mena |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 352-435-7772 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maria M Mena Md are as mentioned. Primary taxonomy code for Maria M Mena Md is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Maria M Mena Md such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 007161200 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 401 E North Blvd, Suite 101
Leesburg, FL, 34748-5262
United States |
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| Phone Number : | 352-435-7772 |
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Business Location:
Patients can refer following map for directions to
Maria M Mena Md practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.