| R Edward Montejo Md Pa | |
|
942 Seaway Dr Fort Pierce FL 34949-3123 | |
| (772) 467-0348 | |
| (772) 466-8286 |
| Full Name | R Edward Montejo Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 942 Seaway Dr, Fort Pierce, Florida |
| Authorized Official Name and Position | Marcy Montejo (ACCOUNT MANAGER) |
| Authorized Official Contact | 7724670348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Edward Montejo Md Pa 942 Seaway Dr Fort Pierce FL 34949-3123 Ph: (772) 467-0348 | R Edward Montejo Md Pa 942 Seaway Dr Fort Pierce FL 34949-3123 Ph: (772) 467-0348 |
| NPI Number | 1003095274 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003095274 | NPI | - | NPPES |
| 273461300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME55755 (Florida) | Primary |
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