Individual provider · NPI-1

Dr. Raul Edward Montejo, MD

Psychiatry & Neurology, Neurology · Fort Pierce, FL

NPI number1922001072
StatusActive
Last updated in NPPESJul 26, 2019

Details

NPI
1922001072
Entity type
Individual (NPI-1)
Name
Dr. Raul Edward Montejo
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 23, 2005
Last updated
Jul 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME55755FLYes

Practice location

2401 Frist Blvd Ste 2b
Fort Pierce, FL 34950-4800

Phone 772-460-7770 · Fax 407-369-4295

Mailing address

2401 Frist Blvd Ste 2b
Fort Pierce, FL 34950-4800

Phone 772-460-7770 · Fax 407-369-4295

Other practice locations

942 Seaway Dr
Fort Pierce, FL 34949-3123

Phone 772-467-0348 · Fax 772-466-8196

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