Individual
DR. KENNETH J. MONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7850 N UNIVERSITY DR, TAMARAC, FL 33321-2114
(954) 724-8500
(954) 724-2475
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 0019485
FL
2085R0001X
Radiation Oncology Physician
Primary
ME19485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01669246
AMERIGROUP
FL
05
—
0540757-00
—
FL
01
—
06916
BCBS
FL
01
—
14221
WELLCARE
FL
01
—
1974024
GHI
FL
01
—
212045
AVMED
FL
01
—
22472
MEDICA
FL
01
—
2513287
CIGNA
FL
01
—
2782
DIMENSION HEALTH
FL
01
—
4611631
AETNA
FL
01
—
F00054827202
UNITED HEALTHCARE
FL
01
—
P0003158
FLORIDA HEALTHCARE PLUS
FL
01
—
P934941
OPTIMUM
FL
01
—
P993161
FREEDOM HEALTH
FL
01
—
QMP000003701619
MOLINA
FL
Enumeration date
07/17/2006
Last updated
11/29/2012
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