Individual
MRS. HOLLY MONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1569 MATTHEW DR, FORT MYERS, FL 33907-1734
(239) 481-4111
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8220
(239) 468-7909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121311400
—
FL
Enumeration date
09/19/2019
Last updated
05/15/2024
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