Organization
DALE R. MONAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE R MONAST DPM (OWNER)
(727) 586-3668
Entity
Organization
Contact information
Practice address
1680 W BAY DR, LARGO, FL 33770-3002
(727) 586-3668
(727) 588-0490
Mailing address
1680 W BAY DR, LARGO, FL 33770-3002
(727) 586-3668
(727) 588-0490
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480005214
RR MEDICARE
FL
Enumeration date
04/17/2007
Last updated
01/16/2013
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