| Doctor Name: | DR. MONICA EDITH CANTU |
| NPI Number: | 1598155830 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | ME122370 |
| Business Practice Address: | 1890 Lpga Blvd Ste 130 Primecare At Twin Lakes Daytona Beach, FL - 321177131 |
| Business Phone Number: | 3862742212 |
| Business Fax Number: | 3862741508 |
| Mailing Address: | 1890 Lpga Blvd Ste 130, Primecare At Twin Lakes DAYTONA BEACH |
| State: | FL |
| Postal Code: | 321177131 |
| Phone Number: | 3862742212 |
| Fax Number: | 3862741508 |
| NPI Enumeration Date: | 01/26/2015 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME122370 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |