Male or Other

Monte Edwards PAC

Medical Physician Assistant in Brooksville, FL(View on Map)

Full Name

Monte Edwards PAC

NPI Number

1205820511

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/01/2005

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA1806

Contact
Information

Purpose

Mailing
Location

Address

605 LAMAR AVE
605 LAMAR AVE

City

Brooksville
Brooksville

State

FL
FL

Postal Code

34601-3211
34601-3211

Country

US
US

Telephone Number

(352) 799-5411
(352) 799-5411

Identifiers

Identifier

Y01AA
290064500

Identifier State

FL
FL

Identifier Issuer

BCBS FL
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/22/2014

Provider Address

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