Individual
MRS. BERNARDITA P. MONTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4922 WHITEWAY DR, TAMPA, FL 33617-3461
(813) 988-5133
Mailing address
4922 WHITEWAY DR, TAMPA, FL 33617-3461
(813) 988-5133
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
693094896/693094898
FL
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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