Individual
MRS. MICHELLE MONTASANI CLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 PASADENA AVE S, ST PETERSBURG, FL 33707-2101
(727) 345-2212
(727) 381-3444
Mailing address
407 20TH PL, BRADENTON BEACH, FL 34217-2274
(941) 778-1612
(941) 778-1612
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93086
BLUE CROSS
FL
Enumeration date
07/22/2005
Last updated
07/08/2007
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