Provider Demographics
NPI:1346488558
Name:MONTEJO, JULIO ENRIQUE (DO)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ENRIQUE
Last Name:MONTEJO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1120 PINELLAS BAYWAY S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TIERRA VERDE
Mailing Address - State:FL
Mailing Address - Zip Code:33715-1543
Mailing Address - Country:US
Mailing Address - Phone:727-867-5480
Mailing Address - Fax:727-867-5470
Practice Address - Street 1:1120 PINELLAS BAYWAY S
Practice Address - Street 2:SUITE 200
Practice Address - City:TIERRA VERDE
Practice Address - State:FL
Practice Address - Zip Code:33715-1543
Practice Address - Country:US
Practice Address - Phone:727-867-5480
Practice Address - Fax:727-867-5470
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2012-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS 10388207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine