Individual
MARTHA ELISA MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 EAGLE HARBOR PKWY, ORANGE PARK, FL 32003-4820
(904) 644-0700
Mailing address
1670 EAGLE HARBOR PKWY, ORANGE PARK, FL 32003-4820
(904) 644-0700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP9218889
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9218889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159802A
—
GA
05
—
010390100
—
FL
Enumeration date
09/17/2008
Last updated
12/07/2020
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