MEDICARE: DR. EDUARDO FRANCISCO LIMONTA MPAS/PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA 2994	FL

General Provider Information

NPI Number	:	1043236763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDUARDO FRANCISCO LIMONTA MPAS/PHD

Provider Business Mailing Address
First Line	:	364 OLD AQUA LANDING WEST
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356
Country	:	US
Telephone Number	:	912-230-2080
Fax Number	:

Provider Business Practice Location Address
First Line	:	690 S LOOP 336 W STE 300
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3320
Country	:	US
Telephone Number	:	936-522-4000
Fax Number	:	936-522-4020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/17/2020

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