Montejo, Raul Edward

Montejo, Raul Edward is an sole proprietor health care provider with primary practice located at 2401 Frist Blvd Ste 2B , Fort Pierce FL 34950-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Montejo, Raul Edward can be contacted via phone (772) 460-7770.

Contact Information

Primary practice address
2401 Frist Blvd Ste 2B Fort Pierce FL 34950-4800
Phone: (772) 460-7770
Fax: (407) 369-4295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME55755 Florida

Profile Details

NPI number 1922001072
LBN Legal business name Montejo, Raul Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Jul 26th, 2019 - about 5 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 1922001072 NPPES
Florida MEDICAID 273461300
Florida MEDICAID 372681900

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