Individual
JUDY ANN MONTANA-BENINCASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10051 5TH ST N STE 200, ST PETERSBURG, FL 33702-2211
(727) 824-0780
(813) 514-8891
Mailing address
10051 5TH ST N STE 200, ST PETERSBURG, FL 33702-2211
(727) 824-0780
(813) 514-8891
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN2996642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304640100
—
FL
01
—
500005735
RAILROAD MEDICARE NUMBER
FL
Enumeration date
05/31/2006
Last updated
03/10/2020
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