Individual
JORGE LUIS MONTANE-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 E BLOOMINGDALE AVE STE 501, BRANDON, FL 33511-8118
(813) 699-3995
(813) 315-1625
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(813) 699-3995
(813) 315-1625
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME52110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061329100
—
FL
Enumeration date
03/14/2007
Last updated
05/20/2024
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