Provider Demographics
NPI:1952035891
Name:MONSERRAT, MARIA LUZ (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:LUZ
Last Name:MONSERRAT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 INNOVATION WAY UNIT 8812-114
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-7313
Mailing Address - Country:US
Mailing Address - Phone:901-828-7060
Mailing Address - Fax:
Practice Address - Street 1:6182 N US HIGHWAY 41 UNIT A33572
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-1802
Practice Address - Country:US
Practice Address - Phone:813-771-0329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27304122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist