Provider Demographics
NPI:1881971117
Name:SOOD, MONIKA (PA-C)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:SOOD
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:705 WELLS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-2982
Mailing Address - Country:US
Mailing Address - Phone:904-282-6331
Mailing Address - Fax:904-619-1080
Practice Address - Street 1:1821 BLANDING BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-3839
Practice Address - Country:US
Practice Address - Phone:904-406-3160
Practice Address - Fax:904-406-3159
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2022-08-30
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Provider Licenses
StateLicense IDTaxonomies
FLPA9106191363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical