Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DTC52 | FL |
NPI | 1255899589 |
---|---|
Provider Name | Dr. Sarah Ann Menias |
First Address | Ocala, FL 34475-6456 |
Second Address | Ocala, FL 34475-6456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2019 |
Last Update Date | 03/12/2019 |