MEDICARE: MONIZE MEDICAL GROUP, INC

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

General Provider Information

NPI Number	:	1356909196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONIZE MEDICAL GROUP, INC

Provider Business Mailing Address
First Line	:	8958 W STATE ROAD 84 # 227
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-4457
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	:	OWNER
Name	:	BRIAN MONIZE
Credential	:	DO
Telephone Number	:	954-231-4444

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	03/02/2026

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