Mortensen, Monica
Mortensen, Monica is an individual health care provider with primary practice located at 807 Childrens Way Nemours Childrens Clinic, Jacksonville, Jacksonville FL 32207-8426. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Mortensen, Monica can be contacted via phone (904) 697-3600.Contact Information
Primary practice address
807 Childrens Way Nemours Childrens Clinic, Jacksonville
Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax: (904) 697-3792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS10132 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 036-111969 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | OS10132 | Florida |
Profile Details
| NPI number | 1104869254 |
|---|---|
| LBN Legal business name | Mortensen, Monica |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 10th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104869254 | NPPES |
| Florida | MEDICAID | 280412300 | |
| Florida | Other | 10140 | |
| Florida | MEDICAID | 362169147 | |
| Florida | Other | OS10132 |
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