Provider Demographics
NPI:1649421215
Name:MENEZES-ENOS, DONNA (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:
Last Name:MENEZES-ENOS
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10417 SPRING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5043
Mailing Address - Country:US
Mailing Address - Phone:352-515-6121
Mailing Address - Fax:352-515-6769
Practice Address - Street 1:11079 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5000
Practice Address - Country:US
Practice Address - Phone:352-683-9499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3829171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist