Provider Demographics
NPI:1457653776
Name:SCARLETT Y. MONROY-ALBA M.D. P.A.
Entity Type:Organization
Organization Name:SCARLETT Y. MONROY-ALBA M.D. P.A.
Other - Org Name:FAMILY MEDICAL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCARLETT
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:MONROY-ALBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-475-6957
Mailing Address - Street 1:8309 GUNN HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1608
Mailing Address - Country:US
Mailing Address - Phone:813-475-6957
Mailing Address - Fax:813-475-6962
Practice Address - Street 1:8309 GUNN HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-1608
Practice Address - Country:US
Practice Address - Phone:813-475-6957
Practice Address - Fax:813-475-6962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-18
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98549207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1740493980OtherBLUE CROSS BLUE SHIELD