Individual
DR. MARJORIE E MONTANEZ-WISCOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1600 SW ARCHER RD # 100279, GAINESVILLE, FL 32610-3003
(216) 778-3376
Mailing address
1600 SW ARCHER RD # 100279, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME137431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100920300
—
FL
Enumeration date
04/25/2011
Last updated
11/01/2018
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