Doctor Name: | ANTONIO P MONSON |
NPI Number: | 1659456259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME82686 |
Business Practice Address: | 3081 Roosevelt Blvd Ste 300 Clearwater, FL - 337603422 |
Business Phone Number: | 7272593889 |
Business Fax Number: | 7272136744 |
Mailing Address: | 3081 Roosevelt Blvd Suite 300, CLEARWATER |
State: | FL |
Postal Code: | 322314021 |
Phone Number: | 7272593889 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME82686 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |