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NPI Code Detail

MEDICARE: ROBERTO MONTLOUIS

MEDICARE:   ROBERTO  MONTLOUIS
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
1225XR0403XDriving and Community Mobility Occupational TherapistM534720812150FL

General Provider Information

NPI Number : 1235766221
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO MONTLOUIS
Provider Business Mailing Address
First Line : 4606 P.O. BOX
Second Line :
City : FORT PIERCE
State : FL
Zip : 34948
Country : US
Telephone Number : 772-940-7592
Fax Number :
Provider Business Practice Location Address
First Line : 2407 ROYAL PALM DR
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-5630
Country : US
Telephone Number : 772-940-7592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2020
Last Update Date : 03/27/2020

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Directions to “ ROBERTO MONTLOUIS ” Practice Location

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