Organization
MONTOYA PODIATRY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD MONTOYA DPM (DOCTOR)
(908) 553-5581
Entity
Organization
Contact information
Practice address
806 N ROSE AVE, KISSIMMEE, FL 34741-4944
(407) 753-4452
(407) 613-2265
Mailing address
806 N ROSE AVE, KISSIMMEE, FL 34741-4944
(407) 753-4452
(407) 613-2265
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111560200
—
FL
01
—
N8982
MEDICARE
FL
Enumeration date
06/03/2021
Last updated
09/13/2022
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