Montgomery, Donald R

Montgomery, Donald R is an sole proprietor health care provider with primary practice located at 10101 W Forest Hill Blvd , Wellington FL 33414-6103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Montgomery, Donald R can be contacted via phone (561) 798-8535.

Contact Information

Primary practice address
10101 W Forest Hill Blvd Wellington FL 33414-6103
Phone: (561) 798-8535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME71826 Florida

Profile Details

NPI number 1487690897
LBN Legal business name Montgomery, Donald R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Oct 31st, 2007 - about 19 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 1487690897 NPPES
Florida Other 41364 BLUE CROSS BLUE SHIELD
Florida Other P00289215 BLUE CROSS BLUE SHIELD
Florida MEDICAID 252341800 BLUE CROSS BLUE SHIELD

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