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Organization
MERCEDES MONTEALEGRE MD PA
Active
Organization
MERCEDES MONTEALEGRE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA MERCEDES MONTEALEGRE M.D. (DOCTOR)
(813) 855-5455
Entity
Organization
Contact information
Practice address
12171 W LINEBAUGH AVE, TAMPA, FL 33626-1732
(813) 855-5455
(813) 855-9258
Mailing address
12171 W LINEBAUGH AVE, TAMPA, FL 33626-1732
(813) 855-5455
(813) 855-9258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME86105
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10324701
CITRUS
FL
01
—
189854
AMERIGROUP
FL
05
—
267380100
—
FL
01
—
291054
AVMED
FL
01
—
81239
BLUE CROSS
FL
Enumeration date
10/10/2007
Last updated
07/21/2016
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