Individual
JACQUELYN MONZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
16161 NW 57TH AVE, HIALEAH, FL 33014-6707
(305) 625-3409
(305) 625-2734
Mailing address
16161 NW 57TH AVE, HIALEAH, FL 33014-6707
(305) 625-3409
(305) 625-2734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-9106309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-9106309
STATE LICSENCE
FL
Enumeration date
02/29/2012
Last updated
02/29/2012
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