MEDICARE: MARINELLA FLAMINIA MONK M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	ME84053	FL

General Provider Information

NPI Number	:	1144295791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINELLA FLAMINIA MONK M.D.

Provider Business Mailing Address
First Line	:	7720 US HIGHWAY 98 W
Second Line	:	SUITE 300
City	:	DESTIN
State	:	FL
Zip	:	32550-7230
Country	:	US
Telephone Number	:	850-622-9120
Fax Number	:

Provider Business Practice Location Address
First Line	:	7720 US HIGHWAY 98 W
Second Line	:	SUITE 300
City	:	DESTIN
State	:	FL
Zip	:	32550-7230
Country	:	US
Telephone Number	:	850-622-9120
Fax Number	:

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

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	10/16/2007

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