Provider Demographics
NPI:1851161863
Name:MONTES DE OCA, MILTON (MA CMHC)
Entity Type:Individual
Prefix:MR
First Name:MILTON
Middle Name:
Last Name:MONTES DE OCA
Suffix:
Gender:M
Credentials:MA CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 NE 41ST TER # 223
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-6619
Mailing Address - Country:US
Mailing Address - Phone:786-768-5247
Mailing Address - Fax:
Practice Address - Street 1:800 NE 62ND ST # 406
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-3560
Practice Address - Country:US
Practice Address - Phone:786-768-5247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH25112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health