Individual
EDDY MONTESINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, MIAMI, FL 33140
(305) 674-2123
Mailing address
4550 NW 9TH ST APT 119, MIAMI, FL 33126
(786) 536-0794
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-790
FL
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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