Healthcare Provider Details

I. General information

NPI: 1114335601
Provider Name (Legal Business Name): FRANCIS GERTRUDIS WADSKIER MONTAGNE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 02/06/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 300
NAPLES FL
34102-5887
US

IV. Provider business mailing address

15500 MARK LN APT 4101
NAPLES FL
34119-9869
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-0940
  • Fax: 239-624-0941
Mailing address:
  • Phone: 773-936-0679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35.137105
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: