Individual
DAVID MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 S FLORIDA AVE, LAKELAND, FL 33803-4860
(863) 644-0671
(863) 644-5340
Mailing address
5227 MONTSERRAT CT, LAKELAND, FL 33812-4087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS27705
FL
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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