Individual
PEDRO ALFONSO AMADO MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
915 MIDDLE RIVER DR, FORT LAUDERDALE, FL 33304-3544
(954) 565-7575
Mailing address
10637 NW 43RD ST, SUNRISE, FL 33351-8337
(731) 613-8849
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-171
TN
Other
Enumeration date
03/13/2021
Last updated
01/04/2022
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