Organization
R EDWARD MONTEJO MD PA
Active
Organization
R EDWARD MONTEJO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY MONTEJO (ACCOUNT MANAGER)
(772) 467-0348
Entity
Organization
Contact information
Practice address
942 SEAWAY DR, FORT PIERCE, FL 34949-3123
(772) 467-0348
(772) 466-8286
Mailing address
942 SEAWAY DR, FORT PIERCE, FL 34949-3123
(772) 467-0348
(772) 466-8286
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME55755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273461300
—
FL
Enumeration date
10/24/2007
Last updated
01/25/2012
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