MEDICARE: BRIAN MONIZE D.O.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	OS12671	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1144596057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN MONIZE D.O.

Provider Business Mailing Address
First Line	:	1216 SE 1ST AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1802
Country	:	US
Telephone Number	:	954-231-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 SE 1ST AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1802
Country	:	US
Telephone Number	:	954-231-4444
Fax Number	:

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

Provider Enumeration Date	:	03/25/2012
Last Update Date	:	02/26/2025

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