Individual
DR. BRENDA S. MONTANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 S. ORANGE AVE., SUITE 100 NEMOURS CHILDRENS CLINIC, ORLANDO, FL 32806-2946
(407) 650-7715
(407) 650-7124
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
ME44539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048541100
—
FL
Enumeration date
08/29/2006
Last updated
09/15/2011
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