Individual
DR. RAUL EDWARD MONTEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 FRIST BLVD STE 2B, FORT PIERCE, FL 34950-4800
(772) 460-7770
(407) 369-4295
Mailing address
2401 FRIST BLVD STE 2B, FORT PIERCE, FL 34950-4800
(772) 460-7770
(407) 369-4295
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME55755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273461300
—
FL
05
—
372681900
—
FL
Enumeration date
05/23/2005
Last updated
07/26/2019
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