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Organization
MARY MONTSKO MD LLC
Active
Organization
MARY MONTSKO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MONTSKO M.D. (PRESIDENT)
(813) 963-3124
Entity
Organization
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 800, TAMPA, FL 33607-6383
(813) 931-3124
(813) 265-1717
Mailing address
2727 W DR MARTIN LUTHER KING JR BLVD, SUITE 800, TAMPA, FL 33607-6383
(813) 931-3124
(813) 265-1717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276829100
—
FL
Enumeration date
07/23/2013
Last updated
07/23/2013
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