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Mario J Monteleone, PAC

Physician Assistant in Orlando, FL. Individual provider (NPI-1).

NPI number1962492413
StatusActive
Last updated in NPPESMar 28, 2018

Details

NPI
1962492413
Entity type
Individual (NPI-1)
Name
Mr. Mario J Monteleone
Credential
PAC
Sex
Male
Sole proprietor
No
Enumeration date
Oct 26, 2005
Last updated
Mar 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9100983FLYes

Practice location

7932 W Sand Lake Rd
Suite 202
Orlando, FL 32819-7263

Phone 407-846-7546 · Fax 321-206-5419

Mailing address

Po Box 690609
Orlando, FL 32869-0609

Phone 407-846-7546 · Fax 321-206-5419

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