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Individual

MARK MONZONE

Active
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Individual

MARK MONZONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107437
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016914500
—
FL
01
—
0768849
CIGNA
FL
01
—
1256817
WELLCARE
FL
01
—
398594
AVMED
FL
01
—
5781990
AETNA
FL
01
—
9L4EL
BCBS
FL
01
—
P01641213
RR MEDICARE
FL
01
—
P1038275
FREEDOM
FL
01
—
P973331
OPTIMUM
FL
Enumeration date
10/16/2013
Last updated
12/14/2016
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