C. Ted Montgomery in Jacksonville - Specialist
C. Ted Montgomery - NPI 1093717159
C. Ted Montgomery is a Specialist in Jacksonville, Florida. C. Ted Montgomery practices all healthcare services and medical treatments related to Specialist. The NPI Number for C. Ted Montgomery is 1093717159. The last update date is 2009-11-24.
C. Ted Montgomery's current location address is 915 W Monroe St, Jacksonville, Florida. You can contact this provider via phone number 9043842240 and fax number 9044480030. The mailing address for C. Ted Montgomery is 915 W Monroe St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C. Ted Montgomery |
|---|---|
| Address | 915 W Monroe St, Jacksonville, Florida |
| Phone Number | 9043842240 |
| Fax Number | 9044480030 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093717159 |
|---|---|
| Provider Enumeration Date | 2005-06-02 |
| Last Updated Date | 2009-11-24 |
Provider Mailing Address Detail
| Address | 915 W Monroe St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 3220411770 |
| Phone Number | 9043842240 |
| Fax Number | 9044480030 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME10755 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 371200100 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to C. Ted Montgomery by the Centers for Medicare & Medicaid Services (CMS)?
The C. Ted Montgomery has been assigned the NPI (National Provider Identifier) 1093717159. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where C. Ted Montgomery's facilities are geographically located?
The facilities of C. Ted Montgomery are physically situated at the following location: 915 W Monroe St, Jacksonville, FL, 3220411770.
What is C. Ted Montgomery's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for C. Ted Montgomery is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did C. Ted Montgomery receive its 1093717159 assignment from the Centers for Medicare & Medicaid Services?
The C. Ted Montgomery was assigned its 1093717159 on 2005-06-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding C. Ted Montgomery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to C. Ted Montgomery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-24.