Individual
MARIBEL MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
213 S DILLARD ST, SUITE 240, WINTER GARDEN, FL 34787-3522
(407) 409-8067
(407) 409-8068
Mailing address
213 S DILLARD ST, SUITE 240, WINTER GARDEN, FL 34787-3522
(407) 409-8067
(407) 409-8068
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME84429
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME 84429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28028
BCBS OF FLORIDA
FL
01
—
593516436
MEDICAL MUTUAL
—
01
—
593516436002
TRICARE
—
01
—
695956
TUFTS
—
01
—
7194953
MAMSI
—
01
—
773114
MAILHANDLERS
—
01
—
P00397536
RR GBA PALMETTO
FL
Enumeration date
06/03/2006
Last updated
08/11/2014
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