Monteleone, Mario J

Monteleone, Mario J is an individual health care provider with primary practice located at 7932 W Sand Lake Rd Suite 202, Orlando FL 32819-7263. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Monteleone, Mario J can be contacted via phone (407) 846-7546.

Contact Information

Primary practice address
7932 W Sand Lake Rd Suite 202 Orlando FL 32819-7263
Phone: (407) 846-7546
Fax: (321) 206-5419
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100983 Florida

Profile Details

NPI number 1962492413
LBN Legal business name Monteleone, Mario J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 28th, 2018 - about 8 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 1962492413 NPPES
Florida MEDICAID 008106200

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