Organization
TREASURE COAST NEUROLOGY, INC
Active
Organization
TREASURE COAST NEUROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL EDUARDO MONTEJO M.D. (OWNER/NEUROLOGIST)
(772) 528-1310
Entity
Organization
Contact information
Practice address
2401 FRIST BLVD STE 2B, FORT PIERCE, FL 34950-4800
(772) 528-1310
Mailing address
2401 FRIST BLVD STE 2B, FORT PIERCE, FL 34950-4800
(772) 528-1310
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
05/14/2020
Last updated
05/15/2020
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