Provider Demographics
NPI:1356909196
Name:MONIZE MEDICAL GROUP, INC
Entity type:Organization
Organization Name:MONIZE MEDICAL GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MONIZE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-231-4444
Mailing Address - Street 1:1216 SE 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1802
Mailing Address - Country:US
Mailing Address - Phone:954-231-4444
Mailing Address - Fax:
Practice Address - Street 1:1216 SE 1ST AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1802
Practice Address - Country:US
Practice Address - Phone:954-231-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty