Mena, Luisa Ozema

Mena, Luisa Ozema is an individual health care provider with primary practice located at 4930 E Lake Mary Blvd , Sanford FL 32771-5003. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mena, Luisa Ozema can be contacted via phone (407) 322-8645.

Contact Information

Primary practice address
4930 E Lake Mary Blvd Sanford FL 32771-5003
Phone: (407) 322-8645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN653 Florida

Profile Details

NPI number 1700291176
LBN Legal business name Mena, Luisa Ozema
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700291176 NPPES
Florida MEDICAID 014885600

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