Provider Demographics
NPI:1659527570
Name:MENEFEE, PATRICIA HILL (AP, DOM, MSOM)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:HILL
Last Name:MENEFEE
Suffix:
Gender:F
Credentials:AP, DOM, MSOM
Other - Prefix:
Other - First Name:PATTI
Other - Middle Name:
Other - Last Name:MENEFEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AP, DOM,MSOM
Mailing Address - Street 1:14018 FORTUNADO RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-2004
Mailing Address - Country:US
Mailing Address - Phone:904-221-0181
Mailing Address - Fax:
Practice Address - Street 1:507 4TH ST S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-5201
Practice Address - Country:US
Practice Address - Phone:904-742-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2425171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist