Healthcare Provider Details

I. General information

NPI: 1558445841
Provider Name (Legal Business Name): JEAN Y. MONICE, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 FOREST HILL BLVD SUITE 101
WEST PALM BEACH FL
33406-8902
US

IV. Provider business mailing address

1825 FOREST HILL BLVD SUITE 101
WEST PALM BEACH FL
33406-8902
US

V. Phone/Fax

Practice location:
  • Phone: 561-433-0206
  • Fax: 561-433-1640
Mailing address:
  • Phone: 561-433-0206
  • Fax: 561-433-1640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME0069088
License Number StateFL

VIII. Authorized Official

Name: DR. JEAN YVENET MONICE
Title or Position: M.D.
Credential: M.D.
Phone: 561-433-0206