Healthcare Provider Details

I. General information

NPI: 1851477343
Provider Name (Legal Business Name): JEAN YVENET MONICE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/09/2007
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
US

V. Phone/Fax

Practice location:
  • Phone: 561-433-0206
  • Fax: 561-433-1649
Mailing address:
  • Phone: 561-433-0206
  • Fax: 561-433-1649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: