Provider Demographics
NPI:1114952918
Name:MONAGHAN, JANET (NBC-HIS)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:MONAGHAN
Suffix:
Gender:F
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:MCENTEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2003S.OSPREY AVE..
Mailing Address - Street 2:
Mailing Address - City:SARASOTO
Mailing Address - State:FL
Mailing Address - Zip Code:34239
Mailing Address - Country:US
Mailing Address - Phone:941-955-3277
Mailing Address - Fax:941-951-1152
Practice Address - Street 1:2003 S OSPREY AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3820
Practice Address - Country:US
Practice Address - Phone:941-955-3277
Practice Address - Fax:941-951-1152
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS2457237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL610247600Medicaid