Healthcare Provider Details

I. General information

NPI: 1679924310
Provider Name (Legal Business Name): SARAH MONTERO AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12144 CORTEZ BLVD
BROOKSVILLE FL
34613-5575
US

IV. Provider business mailing address

5416 DREW ST
BROOKSVILLE FL
34604-8589
US

V. Phone/Fax

Practice location:
  • Phone: 321-258-5375
  • Fax:
Mailing address:
  • Phone: 321-258-5375
  • Fax: 321-258-5375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAY2049
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: