Antigua, Monica

Antigua, Monica is an individual health care provider with primary practice located at 2460 Old Moultrie Rd Ste 5 , St Augustine FL 32086-4198. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Antigua, Monica can be contacted via phone (904) 797-5740.

Contact Information

Primary practice address
2460 Old Moultrie Rd Ste 5 St Augustine FL 32086-4198
Phone: (904) 797-5740
Fax: (904) 797-5749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11000775 Florida

Profile Details

NPI number 1841759255
LBN Legal business name Antigua, Monica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2019
Last updated Mar 15th, 2019 - about 5 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 1841759255 NPPES
Other 000 ALL APPLICATIONS ARE PENDING

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