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Organization

BARBARA MONTFORD M.D.,P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LADONNA NOTTAGE (OFFICE MANAGER)
(305) 696-0806
Entity
Organization

Contact information

Practice address
1190 NW 95TH ST STE 106, MIAMI SHORES, FL 33150-2064
(305) 696-0806
Mailing address
18020 SW 78TH PL, PALMETTO BAY, FL 33157-6229
(305) 696-0806

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0062605
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371036000
FL
Enumeration date
05/18/2011
Last updated
06/07/2011
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