Individual
ANTONIO MONROE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 E ROSE ST, LAKELAND, FL 33801-2016
(863) 413-3126
Mailing address
1883 MAHAFFEY CIR, LAKELAND, FL 33811-4463
(941) 286-4949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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