Monast, Dale R

Monast, Dale R is an individual health care provider with primary practice located at 1680 W Bay Dr , Largo FL 33770-3002. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Monast, Dale R can be contacted via phone (727) 586-3668.

Contact Information

Primary practice address
1680 W Bay Dr Largo FL 33770-3002
Fax: (727) 588-0490
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P01709 Florida

Profile Details

NPI number 1962437228
LBN Legal business name Monast, Dale R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 19th, 2016 - about 8 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 1962437228 NPPES
Florida MEDICAID 029738100

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