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Individual

DALE R MONAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1680 W BAY DR, LARGO, FL 33770-3002
(727) 586-3668
(727) 588-0490
Mailing address
1680 W BAY DR, LARGO, FL 33770-3002
(727) 586-3668
(727) 588-0490

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P01709
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029738100
FL
Enumeration date
07/12/2006
Last updated
02/19/2016
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