Montoya, Vernon P
Montoya, Vernon P is an individual health care provider with primary practice located at 289 Sw Stonegate Terr Suite #103, Lake City FL 32024-3457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Montoya, Vernon P can be contacted via phone (386) 755-1655.Contact Information
Primary practice address
289 Sw Stonegate Terr Suite #103
Lake City FL 32024-3457
Phone: (386) 755-1655
Fax: (386) 755-2330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME61981 | Florida |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME61981 | Florida |
Profile Details
| NPI number | 1124019427 |
|---|---|
| LBN Legal business name | Montoya, Vernon P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Mar 16th, 2023 - about 3 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 | 1124019427 | NPPES |
| Florida | MEDICAID | 370445900 | |
| Florida | Other | K9539 | |
| Florida | Other | PTAN 14993U | |
| Florida | Other | 14993 |
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