R Edward Montejo Md Pa

LBN: R Edward Montejo Md Pa
R Edward Montejo Md Pa is an health care organization with primary practice located at 942 Seaway Dr , Fort Pierce FL 34949-3123. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. R Edward Montejo Md Pa can be contacted via phone (772) 467-0348, or through Montejo, Marcy via phone (772) 467-0348.

Contact Information

Primary practice address
942 Seaway Dr Fort Pierce FL 34949-3123
Phone: (772) 467-0348
Fax: (772) 466-8286
Website:
Map and Directions
Authorized official contact:
Name: Montejo, Marcy
Phone: (772) 467-0348

Health care specialties

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

Profile Details

NPI number 1003095274
LBN Legal business name R Edward Montejo Md Pa
DBA Doing business as
Authorized official Montejo, Marcy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Jan 25th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003095274 NPPES
Florida MEDICAID 273461300

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