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Organization
MONTER PEDIATRICS, INC
Active
Organization
MONTER PEDIATRICS, INC
Active
Other names
Gulf Coast Pediatrics & Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BENNETT HAAG (TREASURER/OFFICE MANAGER)
(813) 926-4203
Entity
Organization
Contact information
Practice address
7620 GUNN HWY, STE 190, TAMPA, FL 33625-3144
(813) 926-4203
(813) 792-7511
Mailing address
7620 GUNN HWY, STE 190, TAMPA, FL 33625-3144
(813) 926-4203
(813) 792-7511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123125
HUMANA
—
01
—
7491
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/02/2006
Last updated
08/22/2020
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