Individual
DR. PIERRE JACOB MONTROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2550 SE WALTON RD, PORT ST LUCIE, FL 34952-7168
(772) 408-5861
Mailing address
PO BOX 12717, FORT PIERCE, FL 34979-2717
(772) 871-7800
(772) 871-7822
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME69838
FL
283Q00000X
Psychiatric Hospital
ME69838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E1050Z
—
FL
Enumeration date
09/29/2006
Last updated
10/16/2020
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