Provider Demographics
NPI:1649251463
Name:MONACO, CAROLYN T (DO)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:T
Last Name:MONACO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1726 MEDICAL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1426
Mailing Address - Country:US
Mailing Address - Phone:239-513-1992
Mailing Address - Fax:239-513-9022
Practice Address - Street 1:1726 MEDICAL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1426
Practice Address - Country:US
Practice Address - Phone:239-513-1992
Practice Address - Fax:239-513-9022
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2017-01-05
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Provider Licenses
StateLicense IDTaxonomies
FLOS9147207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269267800Medicaid
FLH34004Medicare UPIN
FLH34004Medicare UPIN