Provider Demographics
NPI:1962510289
Name:MONCARZ, MICHAEL H (L AP)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:H
Last Name:MONCARZ
Suffix:
Gender:M
Credentials:L AP
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:MONCARZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:16359 75TH PL N
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-3049
Mailing Address - Country:US
Mailing Address - Phone:561-370-9416
Mailing Address - Fax:
Practice Address - Street 1:210 JUPITER LAKES BLVD
Practice Address - Street 2:BUILDING 5000 SUITE #102
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7191
Practice Address - Country:US
Practice Address - Phone:561-741-1876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1741171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist