Provider Demographics
NPI:1003471442
Name:DANIEL J MONZON OD LLC
Entity type:Organization
Organization Name:DANIEL J MONZON OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MONZON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:786-475-2020
Mailing Address - Street 1:14411 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7818
Mailing Address - Country:US
Mailing Address - Phone:786-475-2020
Mailing Address - Fax:786-789-2021
Practice Address - Street 1:14411 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-7818
Practice Address - Country:US
Practice Address - Phone:786-475-2020
Practice Address - Fax:786-789-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty