Individual
DR. FREDERICK J MONSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 BILL FRANCE BLVD, DAYTONA BEACH, FL 32114-1316
(386) 254-6800
(386) 254-6995
Mailing address
6 FERNWOOD TRL, ORMOND BEACH, FL 32174-4955
(386) 677-8561
(386) 677-8561
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0042203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044772200
—
FL
Enumeration date
04/24/2006
Last updated
11/09/2011
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