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Luisa Ozema Mena, MD
General Practice Physician in Sanford, Florida
NPI 1700291176

Luisa Ozema Mena is a General Practice Physician based in Sanford, FL. Luisa Ozema Mena practices in Sanford, FL and has the professional credentials of MD. The NPI Number for Luisa Ozema Mena is 1700291176 and holds a License No. ACN653 (Florida).

The current practice location address for Luisa Ozema Mena is 4930 E Lake Mary Blvd, Sanford, FL and can be reached out via phone at 407-322-8645.

Location: 4930 E Lake Mary Blvd, Sanford, FL, 32771-5003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700291176
Provider Name
Luisa Ozema Mena
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4930 E Lake Mary Blvd, Sanford, FL, 32771-5003
Phone Number
407-322-8645
Fax Number
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
014885600 05 FL
institution
Provider Business Practice Location Address Details
Address
4930 E Lake Mary Blvd
City
Sanford
State
Florida
Zip
32771-5003
Phone Number
407-322-8645
Fax Number
person
Provider Business Mailing Address Details
Address
4930 E Lake Mary Blvd
City
Sanford
State
Florida
Zip
32771-5003
Phone Number
407-322-8645
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ACN653 (Florida)
Definition
Definition to come...
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