Individual
SHACOYA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3909 SANDHILL CRANE DR, LAKELAND, FL 33811-1862
(863) 617-5840
Mailing address
3909 SANDHILL CRANE DR, LAKELAND, FL 33811-1862
(863) 617-5840
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824729967
—
FL
Enumeration date
11/19/2018
Last updated
11/19/2018
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