Monsour, Frederick J

Monsour, Frederick J is an sole proprietor health care provider with primary practice located at 201 Bill France Blvd , Daytona Beach FL 32114-1316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Monsour, Frederick J can be contacted via phone (386) 254-6800.

Contact Information

Primary practice address
201 Bill France Blvd Daytona Beach FL 32114-1316
Fax: (386) 254-6995
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0042203 Florida

Profile Details

NPI number 1497711063
LBN Legal business name Monsour, Frederick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2006
Last updated Nov 9th, 2011 - about 13 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 1497711063 NPPES
Florida MEDICAID 044772200

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