Individual
EDWIN MONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
5230 SMOKEY WATER LN, OVIEDO, FL 32765-6694
(407) 501-2150
Mailing address
5230 SMOKEY WATER LN, OVIEDO, FL 32765-6694
(407) 501-2150
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9166316
FL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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