Individual
JUAN CARLOS MONTAS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12024 MAGAZINE ST APT 9205, ORLANDO, FL 32828-5511
(407) 860-7388
Mailing address
12024 MAGAZINE ST APT 9205, ORLANDO, FL 32828-5511
(407) 860-7388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
120
FL
363AM0700X
Medical Physician Assistant
Primary
922
PR
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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