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NPI Code Detail

MEDICARE: JENNIFER MONESTERE

MEDICARE:   JENNIFER  MONESTERE
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
1225X00000XOccupational TherapistO18437FL

General Provider Information

NPI Number : 1043722010
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MONESTERE
Provider Business Mailing Address
First Line : 4207 S DALE MABRY HWY UNIT 5210
Second Line :
City : TAMPA
State : FL
Zip : 33611-1435
Country : US
Telephone Number : 516-456-1090
Fax Number :
Provider Business Practice Location Address
First Line : 1720 W DR MARTIN LUTHER KING JR BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33607-6508
Country : US
Telephone Number : 813-876-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2017
Last Update Date : 10/31/2017

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Directions to “ JENNIFER MONESTERE ” Practice Location

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