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
Phone: (352) 799-5411
Fax: (352) 544-2713
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205820511 | NPPES |
| Florida | Other | Y01AA | BCBS FL |
| Florida | MEDICAID | 290064500 | BCBS FL |
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