Organization Name: | M & J MONACO PA |
NPI Number: | 1073529434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL VINCENT MONACO (PRESIDENT) |
Mailing Address: | 17831 Ayrshire Blvd Land O Lakes |
State: | FL US |
Postal Code: | 346387969 |
Phone Number: | 8132636536 |
Fax Number: | 8137413480 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |