| Julio Montejo Do Pa | |
|
5072 Stillwater Ter Cooper City FL 33330-2755 | |
| (786) 514-4197 | |
| Not Available |
| Full Name | Julio Montejo Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5072 Stillwater Ter, Cooper City, Florida |
| Authorized Official Name and Position | Julio Enrique Montejo (PRESIDENT) |
| Authorized Official Contact | 7865144197 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julio Montejo Do Pa 5072 Stillwater Ter Cooper City FL 33330-2755 Ph: (786) 514-4197 | Julio Montejo Do Pa 5072 Stillwater Ter Cooper City FL 33330-2755 Ph: (786) 514-4197 |
| NPI Number | 1386906931 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 3476719402 |
|---|---|
| Medicare Enrollment ID | O20120719000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386906931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS10388 (Florida) | Primary |
| Provider Name | Julio Enrique Montejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346488558 PECOS PAC ID: 0042357691 Enrollment ID: I20091030000190 |
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