Provider Demographics
NPI:1023003290
Name:CARTWRIGHT, MONT J (MD)
Entity type:Individual
Prefix:MR
First Name:MONT
Middle Name:J
Last Name:CARTWRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:921 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4570
Mailing Address - Country:US
Mailing Address - Phone:407-933-7800
Mailing Address - Fax:407-933-8657
Practice Address - Street 1:921 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4570
Practice Address - Country:US
Practice Address - Phone:407-933-7800
Practice Address - Fax:407-933-8657
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME048965207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL046082600Medicaid
FL180046058OtherRR MEDICARE
FL18724OtherBCBS
FL046082600Medicaid