Individual
JOHN EDWIN MONACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 OAKFIELD DR, C/O BRANDON HOSPITAL, BRANDON, FL 33511-5779
(352) 333-7703
Mailing address
119 NW 114TH WAY, GAINESVILLE, FL 32607-1122
(352) 333-7703
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME0040944
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30924
BCBS
FL
Enumeration date
10/03/2006
Last updated
07/08/2007
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