Active NPI
Rolando J Menendez MD PA
- Family Medicine Physician
- Leesburg, FL
National Provider Identifier
1851608053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0063570
- Legal business name
- ROLANDO J MENENDEZ MD PA
- Practice address
- 733 N 3Rd St
Leesburg, FL 34748-4441 - Phone
- (352) 365-2221
- Fax
- (352) 365-2227
- NPI assigned
- Sep 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela J Beck
- Title
- Office Manager
- Phone
- (352) 787-4235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0063570 | FL | Primary |
Addresses
Primary practice location
733 N 3Rd St
Leesburg, FL 34748-4441
Mailing address
733 N 3Rd St
Leesburg, FL 34748-4441
Phone (352) 365-2221
National Provider Directory
National Provider DirectoryLocations
733 N 3rd St
Leesburg, FL 34748
Phone (352) 365-2221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1851608053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 N 3RD ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484441",
"telephone_number": "352-365-2221",
"fax_number": "352-365-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 N 3RD ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484441",
"telephone_number": "352-365-2221",
"fax_number": "352-365-2227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLANDO J MENENDEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-09",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-787-4235"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0063570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.