| Sergio Menendez-aponte,md,pa | |
|
120 Benmore Dr Winter Park FL 32792-4101 | |
| (407) 645-5998 | |
| (407) 645-3301 |
| Full Name | Sergio Menendez-aponte,md,pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Benmore Dr, Winter Park, Florida |
| Authorized Official Name and Position | Sergio Luis Menendez-aponte (PRESIDENT) |
| Authorized Official Contact | 4076455998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sergio Menendez-aponte,md,pa 120 Benmore Dr Winter Park FL 32792-4101 Ph: (407) 645-5998 | Sergio Menendez-aponte,md,pa 120 Benmore Dr Winter Park FL 32792-4101 Ph: (407) 645-5998 |
| NPI Number | 1780952143 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 03/30/2012 |
| Medicare PECOS PAC ID | 7315992336 |
|---|---|
| Medicare Enrollment ID | O20050314000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780952143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME0048035 (Florida) | Primary |
| Provider Name | Sergio L Menendez Aponte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609897305 PECOS PAC ID: 2668427691 Enrollment ID: I20111101000583 |
| Provider Name | Deanna G Crowningshield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376745596 PECOS PAC ID: 3476814500 Enrollment ID: I20180306000371 |
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