Monica Mortensen in Jacksonville - Pediatric Endocrinology
Monica Mortensen - NPI 1104869254
Monica Mortensen is a Pediatric Endocrinology in Jacksonville, Florida. Monica Mortensen practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Monica Mortensen is 1104869254. The last update date is 2015-12-10.
Monica Mortensen's current location address is 807 Childrens Way, Jacksonville, Florida. You can contact this provider via phone number 9046973600 and fax number 9046973792. The mailing address for Monica Mortensen is 807 Childrens Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monica Mortensen |
|---|---|
| Address | 807 Childrens Way, Jacksonville, Florida |
| Phone Number | 9046973600 |
| Fax Number | 9046973792 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1104869254 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2015-12-10 |
Provider Mailing Address Detail
| Address | 807 Childrens Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078426 |
| Phone Number | 9046973600 |
| Fax Number | 9046973792 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Endocrinology |
|---|---|
| Taxonomy | 2080P0205X |
| Licence No | 036-111969 |
|
Definition: A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 280412300 | FL | -- | |
| 10140 | FL | BCBS | |
| 362169147 | IL | -- | |
| OS10132 | FL | LICENSE |
Post Comment/ Review Below
What is the Monica Mortensen's 1104869254?
The Monica Mortensen's NPI (National Provider Identifier) Number is 1104869254. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Monica Mortensen's physical address?
The Monica Mortensen is physically located at 807 Childrens Way, in the city of Jacksonville, FL, with the postal code 322078426.
What is Monica Mortensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Monica Mortensen's area of specialization is Pediatric Endocrinology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0205X.
When did Monica Mortensen receive its 1104869254 assignment?
The Monica Mortensen was assigned its 1104869254 on 2006-06-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Monica Mortensen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Monica Mortensen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-12-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY