Provider Demographics
NPI:1558810762
Name:MONZON, MARIA ANTONIA (NP)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ANTONIA
Last Name:MONZON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6850 CORAL WAY STE 501
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1763
Mailing Address - Country:US
Mailing Address - Phone:305-639-8387
Mailing Address - Fax:305-230-7390
Practice Address - Street 1:6850 CORAL WAY STE 501
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1763
Practice Address - Country:US
Practice Address - Phone:305-639-8387
Practice Address - Fax:305-230-7390
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-28
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9201075363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106485200Medicaid