MEDICARE: JUDITH MONCION

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	246RP1900X	Phlebotomy Technician		FL
2	247200000X	Other Technician		FL

General Provider Information

NPI Number	:	1356123681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH MONCION

Provider Business Mailing Address
First Line	:	3469 WEST BOYNTON BEACH
Second Line	:	SUITE 2 PMB 1023
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4639
Country	:	US
Telephone Number	:	954-415-1879
Fax Number	:

Provider Business Practice Location Address
First Line	:	3621 TURTLE RUN BLVD
Second Line	:	UNIT 1034
City	:	CORAL SPRING
State	:	FL
Zip	:	33067
Country	:	US
Telephone Number	:	954-415-1879
Fax Number	:

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

Provider Enumeration Date	:	10/20/2023
Last Update Date	:	10/20/2023

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Directions to “ JUDITH MONCION ” Practice Location

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