Individual
DR. VERNON P MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
289 SW STONEGATE TERR, SUITE #103, LAKE CITY, FL 32024-3457
(386) 755-1655
(386) 755-2330
Mailing address
PO BOX 1642, LAKE CITY, FL 32056-1642
(386) 755-1655
(386) 755-2330
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
ME61981
FL
207RX0202X
Medical Oncology Physician
Primary
ME61981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14993
BCBS
FL
05
—
370445900
—
FL
01
—
K9539
MEDICARE GROUP
FL
01
—
PTAN 14993U
LINKED TO GROUP PTAN IE881A EFFECTIVE 07/01/15
FL
Enumeration date
11/04/2005
Last updated
03/16/2023
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