Edwards, Monte

Edwards, Monte is an individual health care provider with primary practice located at 605 Lamar Ave , Brooksville FL 34601-3211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Edwards, Monte can be contacted via phone (352) 799-5411.

Contact Information

Primary practice address
605 Lamar Ave Brooksville FL 34601-3211
Fax: (352) 544-2713
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1806 Florida

Profile Details

NPI number 1205820511
LBN Legal business name Edwards, Monte
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Sep 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205820511 NPPES
Florida Other Y01AA BCBS FL
Florida MEDICAID 290064500 BCBS FL

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