Provider Demographics
NPI:1376915140
Name:URQUIOLA, MONICA V (ARNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:V
Last Name:URQUIOLA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:VEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 691597
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32869-1597
Mailing Address - Country:US
Mailing Address - Phone:407-898-1210
Mailing Address - Fax:407-898-2909
Practice Address - Street 1:615 E PRINCETON ST
Practice Address - Street 2:SUITE 510
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1456
Practice Address - Country:US
Practice Address - Phone:407-898-1210
Practice Address - Fax:407-898-2909
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9314785363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily