Individual
JUAWANA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
(407) 896-2323
Mailing address
5768 S SEMORAN BLVD, ORLANDO, FL 32822-4818
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
FL
Other
Enumeration date
12/03/2025
Last updated
01/06/2026
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