Individual
NATALIE LAMA MONTICCIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5091 LITTLE ROAD, NEW PORT RICHEY, FL 34653
(727) 849-1447
(727) 849-3208
Mailing address
5091 LITTLE ROAD, NEW PORT RICHEY, FL 34653
(727) 849-1447
(727) 849-3208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OS7718
FL
207N00000X
Dermatology Physician
Primary
OS7718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06885
BLUE CROSS BLUE SHIELD
FL
01
—
106357874
RAILROAD MEDICARE
FL
Enumeration date
10/18/2005
Last updated
09/28/2019
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