Individual
PAUL MONGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-4195
(904) 244-4908
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
46463
CO
207L00000X
Anesthesiology Physician
Primary
ME117165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73053562
—
CO
Enumeration date
09/24/2006
Last updated
09/26/2016
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