Individual
MICHAEL EDWARD MONTEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N ORANGE AVE, SUITE 181, ORLANDO, FL 32804-4603
(407) 303-2030
(407) 303-2040
Mailing address
PO BOX 1031, ORLANDO, FL 32802-1031
(407) 872-7786
(407) 872-3630
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
6894390-1205
UT
2085R0001X
Radiation Oncology Physician
Primary
ME109892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3667100
—
FL
01
—
FE594
MEDICARE
FL
Enumeration date
04/18/2008
Last updated
04/25/2012
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