Individual
MR. JIMMY MONTEALEGRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT, CPHT
Contact information
Practice address
10000 W COLONIAL DR, OCOEE, FL 34761-3400
(407) 296-1169
Mailing address
3126 ANQUILLA AVE, CLERMONT, FL 34711-5297
(407) 616-8803
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
RPT769
FL
2471C3402X
Radiography Radiologic Technologist
Primary
CRT74381
FL
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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