Provider Demographics
NPI:1225350580
Name:MONTELEONE & KESSLER, P.L.
Entity Type:Organization
Organization Name:MONTELEONE & KESSLER, P.L.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:HEATHER
Authorized Official - Last Name:MANISCALCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-250-9440
Mailing Address - Street 1:4014 W. ESTRELLA ST.
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629
Mailing Address - Country:US
Mailing Address - Phone:813-250-9440
Mailing Address - Fax:813-250-9442
Practice Address - Street 1:4014 W. ESTRELLA ST.
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629
Practice Address - Country:US
Practice Address - Phone:813-250-9440
Practice Address - Fax:813-250-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN148981223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty