Doctor Name: | MONICA CLEMENTE |
NPI Number: | 1710093075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ACN708 |
Business Practice Address: | Villas De Parque Escorial Apt B507 Carolina, PR - 00987 |
Business Phone Number: | 7874027262 |
Business Fax Number: | |
Mailing Address: | 111 Webb Dr, DAVENPORT |
State: | FL |
Postal Code: | 338373962 |
Phone Number: | 8635881424 |
Fax Number: | 8889721752 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 10/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ACN708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |