Individual
DR. MICHAEL LAWRENCE MONTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8021 PHILIPS HWY STE 1, JACKSONVILLE, FL 32256-7460
(904) 323-0954
(904) 660-2125
Mailing address
2050 STATE ROUTE 27, SUITE 101, NORTH BRUNSWICK, NJ 08902-1380
(732) 232-7787
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00300400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
810687502
TAX ID
FL
01
—
PO4347
MEDICAL LICENSE FL
FL
Enumeration date
10/29/2009
Last updated
05/03/2022
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