Mena, Derrick L

Mena, Derrick L is an individual health care provider with primary practice located at 6423 Dolphin Shores Dr , Panama City Beach FL 32407-5467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mena, Derrick L can be contacted via phone (347) 907-0406.

Contact Information

Primary practice address
6423 Dolphin Shores Dr Panama City Beach FL 32407-5467
Phone: (347) 907-0406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME111779 Florida

Profile Details

NPI number 1053552471
LBN Legal business name Mena, Derrick L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2009
Last updated Feb 20th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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