Individual
DR. JOSE A MONTILLA CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UF HEALTH, 655 WEST 8TH ST, JACKSONVILLE, FL 32209
(904) 633-0823
(904) 633-0821
Mailing address
PO BOX 583, DORADO, PR 00646-0583
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7977
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1176371
—
FL
Enumeration date
06/07/2006
Last updated
10/15/2018
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