Montgomery, Daniele J

Montgomery, Daniele J is an individual health care provider with primary practice located at 9 San Bartola Dr , St Augustine FL 32086-5767. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Montgomery, Daniele J can be contacted via phone (904) 825-4500.

Contact Information

Primary practice address
9 San Bartola Dr St Augustine FL 32086-5767
Phone: (904) 825-4500
Fax: (904) 825-3672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 66664 Florida

Profile Details

NPI number 1861459661
LBN Legal business name Montgomery, Daniele J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 2nd, 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 1861459661 NPPES
Florida Other 25632S MEDICARE
Florida Other 25632 MEDICARE
Florida MEDICAID 024339200 MEDICARE

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