Mongiello, Michael James

Mongiello, Michael James is an individual health care provider with primary practice located at 8925 Colonial Center Dr Ste 2001 , Fort Myers FL 33905. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Mongiello, Michael James can be contacted via phone (239) 343-9567.

Contact Information

Primary practice address
8925 Colonial Center Dr Ste 2001 Fort Myers FL 33905
Phone: (239) 343-9567
Fax: (239) 343-6571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X APRN9382978 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN9382978 Florida

Profile Details

NPI number 1265942791
LBN Legal business name Mongiello, Michael James
Credentials MSN, MA, NP-C, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2017
Last updated Mar 31st, 2021 - about 4 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 1265942791 NPPES
Florida MEDICAID 022992200

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