Individual
STELLA BANAG MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2316 HILLCREST ST, ORLANDO, FL 32803-4900
(407) 894-6980
Mailing address
14225 LUDGATE HILL LN, ORLANDO, FL 32828-7921
(407) 275-8577
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME74169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269590100
—
FL
01
—
42983U
MEDICARE PTAN NO.
FL
Enumeration date
10/26/2006
Last updated
01/11/2018
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