Gary Montsdeoca Md Pa

LBN: Gary Montsdeoca Md Pa
Gary Montsdeoca Md Pa is an health care organization with primary practice located at 4343 Sun N Lake Blvd Suite B, Sebring FL 33872-2162. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gary Montsdeoca Md Pa can be contacted via phone (863) 382-9100, or through Montsdeoca, Gary via phone (863) 382-9100.

Contact Information

Primary practice address
4343 Sun N Lake Blvd Suite B Sebring FL 33872-2162
Fax: (863) 382-8928
Website:
Authorized official contact:
Name: Montsdeoca, Gary Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0024449 Florida

Profile Details

NPI number 1679738033
LBN Legal business name Gary Montsdeoca Md Pa
DBA Doing business as
Authorized official Montsdeoca, Gary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2008
Last updated Sep 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679738033 NPPES
Florida Other 78525 MEDICARE ID

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