Healthcare Provider Details

I. General information

NPI: 1649216763
Provider Name (Legal Business Name): MARY-JOY MONSALUD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY-JOY R MONSALUD-WALLACE MD

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3327 MEDICAL HILL RD
SEBRING FL
33870-5531
US

IV. Provider business mailing address

3327 MEDICAL HILL RD
SEBRING FL
33870-5531
US

V. Phone/Fax

Practice location:
  • Phone: 866-863-9122
  • Fax:
Mailing address:
  • Phone: 866-863-9122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME137398
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: