Individual
MICHAEL JAMES MONGIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, MA, NP-C, RN
Contact information
Practice address
8925 COLONIAL CENTER DR STE 2001, FORT MYERS, FL 33905
(239) 343-9567
(239) 343-6571
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9567
(239) 343-9571
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9382978
FL
364SX0200X
Oncology Clinical Nurse Specialist
APRN9382978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022992200
—
FL
Enumeration date
10/11/2017
Last updated
03/31/2021
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