Provider Demographics
NPI:1437133659
Name:MONZEL, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:MONZEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12953 PALMS WEST DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470
Mailing Address - Country:US
Mailing Address - Phone:561-795-5130
Mailing Address - Fax:561-795-4160
Practice Address - Street 1:12953 PALMS WEST DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470
Practice Address - Country:US
Practice Address - Phone:561-795-5130
Practice Address - Fax:561-795-4160
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEEL231015207RG0100X
MEMD11796207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
002389OtherANTHEM
ME31977099Medicaid
FLP00686505OtherRAILROAD MEDICARE
100000767OtherRAILROAD MEDICARE
1040123OtherAETNA
ME31977099Medicaid
FLP00686505OtherRAILROAD MEDICARE
FLAI050ZMedicare PIN
FLB86674Medicare UPIN