Healthcare Provider Details

I. General information

NPI: 1811484959
Provider Name (Legal Business Name): JOSEPH GEORGE MONIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2018
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E OSCEOLA PKWY STE 260
KISSIMMEE FL
34744-1616
US

IV. Provider business mailing address

1001 E OSCEOLA PKWY STE 260
KISSIMMEE FL
34744-1616
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-5851
  • Fax: 321-842-7954
Mailing address:
  • Phone: 321-843-5851
  • Fax: 321-842-7954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME168801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: