Individual
OCTAVIO COSME-MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3010 E 138TH AVE STE 12, TAMPA, FL 33613
(813) 975-2800
(813) 977-7631
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME79294
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME79294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26001
BLUE CROSS
FL
05
—
262967400
—
FL
Enumeration date
08/26/2005
Last updated
11/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us