Provider Demographics
NPI:1326038373
Name:MONNETT, RALPH B JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:B
Last Name:MONNETT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:14410 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3237
Mailing Address - Country:US
Mailing Address - Phone:772-589-8111
Mailing Address - Fax:772-589-7561
Practice Address - Street 1:14410 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3237
Practice Address - Country:US
Practice Address - Phone:772-589-8111
Practice Address - Fax:772-589-7561
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2009-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0043454207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL79830OtherBCBS PROVIDER NUMBER
FL44396OtherGHI PROVIDER NUMBER
FL8759837002OtherCIGNA PROVIDER NUMBER
FL2783255OtherAETNA HMO
FL0004604554OtherAETNA PPO
FL180028237OtherRAIL ROAD MEDICARE PROVID
FLD58944Medicare UPIN
79830YMedicare PIN