Organization
RALPH B MONNETT JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A DANIELS (ADMINISTRATOR)
(772) 589-8111
Entity
Organization
Contact information
Practice address
14410 US HIGHWAY 1, SEBASTIAN, FL 32958-3237
(772) 589-8111
(772) 589-7561
Mailing address
14410 US HIGHWAY 1, SEBASTIAN, FL 32958-3237
(772) 589-8111
(772) 589-7561
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0499360
GHI GROUP PROVIDER NUMBER
FL
01
—
0653171
AETNA HMO
FL
01
—
38814
BCBS PROVIDER NUMBER
FL
01
—
8720359
AETNA PPO
FL
Enumeration date
10/21/2005
Last updated
12/31/2014
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