Organization
MONARCH MENTAL HEALTH & WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAUDENIE MONDESIR PA-C (PHYSICIAN ASSISTANT)
(954) 560-7124
Entity
Organization
Contact information
Practice address
648 NW 183RD STREET, MIAMI GARDENS, FL 33169-3331
(954) 399-6004
(954) 206-0500
Mailing address
401 E LAS OLAS BLVD STE 130-146, FORT LAUDERDALE, FL 33301-2210
(954) 560-7124
(954) 206-0500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447695184
NPI
FL
01
—
1952715682
NPI
FL
Enumeration date
08/06/2020
Last updated
08/06/2020
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