Mend Vip, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4294 Issued in FL

Legal business name

MEND VIP, INC

Practice address

4767 New Broad St
Orlando, FL 32814-6405

Phone

(407) 848-1013

NPI assigned

Apr 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Matthew McBride

Title

Ceo

Phone

(734) 748-1079

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1437546900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146405",
            "telephone_number": "407-848-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 NEW BROAD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146405",
            "telephone_number": "407-848-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEND VIP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-748-1079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Ozema Mena, M.D.
• Morey J. Menacker, D.O.
• Jessica Menard, R.D./L.D.N.
• Michelle Diane Menard, AP
• Valery Menard
• Casey Mendel
• Diana Menden
• Janinna Mendes
• Carolina Mendez Cabrera, MD
• Barbara Mendez Campos, LCSW

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.