MEDICARE: ROSEBEL MONTEIRO M.D.

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	208600000X	Surgery Physician	ME136684	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295051134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEBEL MONTEIRO M.D.

Provider Business Mailing Address
First Line	:	602 S AUDUBON AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4217
Country	:	US
Telephone Number	:	813-877-1415
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 S AUDUBON AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4217
Country	:	US
Telephone Number	:	813-877-1415
Fax Number	:

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

Provider Enumeration Date	:	04/16/2010
Last Update Date	:	09/04/2019

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