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Organization

VERNON MONTOYA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VERNON P MONTOYA MD (OWNER)
(386) 758-7822
Entity
Organization

Contact information

Practice address
795 SW STATE ROAD 47, LAKE CITY, FL 32025-0453
(386) 758-7822
(386) 758-7789
Mailing address
795 SW STATE ROAD 47, LAKE CITY, FL 32025-0453
(386) 758-7822
(386) 758-7789

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary

Other

Enumeration date
10/09/2007
Last updated
10/16/2007
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