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NPI Code Detail

MEDICARE: MONICA LYNN MCPHAIL-PRUITT MD

MEDICARE:   MONICA LYNN MCPHAIL-PRUITT  MD
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianME88069FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144292913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA LYNN MCPHAIL-PRUITT MD
Provider Business Mailing Address
First Line : 2401 FRIST BLVD
Second Line : #7, 9 & 10
City : FORT PIERCE
State : FL
Zip : 34950-4800
Country : US
Telephone Number : 772-466-0088
Fax Number : 772-460-8555
Provider Business Practice Location Address
First Line : 6903 W COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32818-6829
Country : US
Telephone Number : 407-298-9900
Fax Number : 407-298-9920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 03/13/2013

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Directions to “ MONICA LYNN MCPHAIL-PRUITT MD” Practice Location

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