Juan Adalberto Menjivar O.D.

NPI 1609025493 - Optometrist - 152W00000X

NPI Details
NPI 1609025493
Gender Male
Enumeration Date 09/16/2008
Last Updated 06/08/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
THE VILLAGES FL, 32162-5603, US
Phone (352) 622-5183
Fax (352) 622-2720
Business Location
3130 SW 32ND AVE
OCALA FL, 34474-4445, US
Phone (352) 622-5183
Fax (352) 622-2720
Taxonomy Code 152W00000X
License State Florida
License Number OPC 4315
Remove 1609025493 NPI Number

According to our database, Dr. Juan Adalberto Menjivar O.D. NPI is 1609025493, taxonomy code is 152W00000X and license number is OPC 4315, license state is located at Florida. Juan Adalberto Menjivar O.D. physically located at 1950 Laurel Manor Dr, The Villages FL, 32162-5603. NPI Number Juan Adalberto Menjivar O.D. has the Individual type.

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1609025493 NPI number is provided on an as is basis without warranty of any kind. 1609025493 is maintained by the National Plan & Provider Enumeration System. The contents of Juan Adalberto Menjivar O.D. are for informational purposes only.