Individual
DR. PASQUALE X. MONTESANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11000 PROSPERITY FARMS RD, SUITE 102, PALM BEACH GARDENS, FL 33410-3462
(561) 833-4869
(561) 833-4872
Mailing address
11000 PROSPERITY FARMS RD, SUITE 102, PALM BEACH GARDENS, FL 33410-3462
(561) 833-4869
(561) 833-4872
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
G49341
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME85035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G493410
BLUE SHIELD
CA
05
—
00G493410
—
CA
01
—
200012725
RAILROAD MEDICARE
CA
Enumeration date
08/29/2006
Last updated
12/16/2014
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