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)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