Montaldo, Thomas Jude

Montaldo, Thomas Jude is an individual health care provider with primary practice located at 1070 N Stone St Suite A, Deland FL 32720-0919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Montaldo, Thomas Jude can be contacted via phone (386) 943-7100.

Contact Information

Primary practice address
1070 N Stone St Suite A Deland FL 32720-0919
Phone: (386) 943-7100
Fax: (386) 738-2624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0081122 Florida

Profile Details

NPI number 1003864992
LBN Legal business name Montaldo, Thomas Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 17th, 2009 - about 16 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 1003864992 NPPES
Florida MEDICAID 261506100

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