Individual
MRS. CAROL MERCEDES MONZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1650 MEDICAL LANE STE 4, FORT MYERS, FL 33907-1116
(239) 334-6160
(239) 334-1339
Mailing address
4520 SW 5TH AVENUE, CAPE CORAL, FL 33914-7503
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001448400
—
FL
05
—
102014000
—
FL
Enumeration date
09/14/2009
Last updated
09/21/2022
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