Organization
MY ENDOCRINOLOGIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL MONTOYA MD (MEDICAL DIRECTOR)
(352) 409-7103
Entity
Organization
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
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME84429
FL
Other
Enumeration date
12/30/2010
Last updated
08/11/2014
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