Individual
DR. FABRIZIO MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25086 OLYMPIA AVE, SUITE 300, PUNTA GORDA, FL 33950-3933
(941) 205-5300
(941) 205-5302
Mailing address
4235 KINGS HWY, SUITE 103, PORT CHARLOTTE, FL 33980-8421
(941) 613-1777
(941) 613-1779
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME100488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000330600
—
FL
01
—
35131
BCBS
FL
Enumeration date
09/03/2006
Last updated
12/20/2016
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