Individual
ROBERTO MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-5651
(239) 343-5652
Mailing address
PO BOX 2147, FT MYERS, FL 33902-2147
(239) 343-5651
(239) 343-5652
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME87042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268369500
—
FL
Enumeration date
09/30/2005
Last updated
03/30/2021
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