Provider Demographics
NPI:1689126377
Name:BARTOLI, MONICA LYNNE (DO)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNNE
Last Name:BARTOLI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6810 N STATE ROAD 7 STE 230
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4304
Mailing Address - Country:US
Mailing Address - Phone:954-667-7336
Mailing Address - Fax:954-405-8852
Practice Address - Street 1:6810 N STATE ROAD 7 STE 230
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4304
Practice Address - Country:US
Practice Address - Phone:954-667-7336
Practice Address - Fax:954-405-8852
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS16851207Q00000X
CODR0058078207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine