MEDICARE: MAYERLINNE MONTAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	34045	CA
2	235Z00000X	Speech-Language Pathologist	14419	FL
3	235Z00000X	Speech-Language Pathologist	2054	PR

General Provider Information

NPI Number	:	1104228303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYERLINNE MONTAS MD

Provider Business Mailing Address
First Line	:	PO BOX 772318
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33077-2318
Country	:	US
Telephone Number	:	787-268-2848
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 772318
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33077-2318
Country	:	US
Telephone Number	:	787-268-2848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2014
Last Update Date	:	05/28/2024

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Directions to “ MAYERLINNE MONTAS MD” Practice Location

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