Individual
AIDA J MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15801 SHERIDAN ST, FORT LAUDERDALE, FL 33331-3487
(954) 442-6875
(954) 442-5061
Mailing address
15801 SHERIDAN ST, FORT LAUDERDALE, FL 33331-3487
(954) 442-6875
(954) 442-5061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS21352
FL
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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