| Piere Jacob Montrose M D Pa | |
|
5762 Okeechobee Blvd Suite 607 West Palm Beach FL 33417-4343 | |
| (772) 871-7800 | |
| (772) 871-7822 |
| Full Name | Piere Jacob Montrose M D Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5762 Okeechobee Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Pierre Jacob Montrose (OWNER) |
| Authorized Official Contact | 7728717800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piere Jacob Montrose M D Pa Po Box 12717 Fort Pierce FL 34979-2717 Ph: (772) 871-7800 | Piere Jacob Montrose M D Pa 5762 Okeechobee Blvd Suite 607 West Palm Beach FL 33417-4343 Ph: (772) 871-7800 |
| NPI Number | 1992015184 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Medicare PECOS PAC ID | 0547438624 |
|---|---|
| Medicare Enrollment ID | O20110714000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992015184 | NPI | - | NPPES |
| 254720100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME69838 (Florida) | Primary |
| Provider Name | Pierre Jacob Montrose |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144312638 PECOS PAC ID: 8527251859 Enrollment ID: I20101019001529 |
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