Individual
DR. DAN P. MONTZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 LITTLE RD, TRINITY, FL 34655
(727) 862-3090
(727) 862-3023
Mailing address
2055 LITTLE RD, TRINITY, FL 34655-4421
(727) 862-3090
(727) 862-3023
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME68907
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME68907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074675000
—
FL
Enumeration date
07/28/2005
Last updated
11/19/2020
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