Provider Demographics
NPI:1356359764
Name:MOND, DAVID J (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:MOND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1130 TEN ROD RD
Mailing Address - Street 2:D201
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4161
Mailing Address - Country:US
Mailing Address - Phone:401-295-8655
Mailing Address - Fax:401-295-8335
Practice Address - Street 1:1190 NW 95TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2063
Practice Address - Country:US
Practice Address - Phone:305-904-3490
Practice Address - Fax:305-535-0931
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2008-04-25
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Provider Licenses
StateLicense IDTaxonomies
FLG98802085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379593400Medicaid
FL379593400Medicaid