Provider Demographics
NPI:1740640952
Name:MONICA SORRENTINO
Entity type:Organization
Organization Name:MONICA SORRENTINO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-949-2924
Mailing Address - Street 1:1926 NE 154TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-6022
Mailing Address - Country:US
Mailing Address - Phone:305-949-2924
Mailing Address - Fax:305-949-9038
Practice Address - Street 1:1926 NE 154TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-6022
Practice Address - Country:US
Practice Address - Phone:305-949-2924
Practice Address - Fax:305-949-9038
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSICIANS RECOVERY GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty