MEDICARE: DR. PASQUALE X. MONTESANO 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	207XS0117X	Orthopaedic Surgery of the Spine Physician	G49341	CA
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME85035	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	200012725	OTHER	CA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G493410	OTHER	CA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992814743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PASQUALE X. MONTESANO M.D.

Provider Business Mailing Address
First Line	:	11000 PROSPERITY FARMS RD
Second Line	:	SUITE 102
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3462
Country	:	US
Telephone Number	:	561-833-4869
Fax Number	:	561-833-4872

Provider Business Practice Location Address
First Line	:	11000 PROSPERITY FARMS RD
Second Line	:	SUITE 102
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3462
Country	:	US
Telephone Number	:	561-833-4869
Fax Number	:	561-833-4872

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	12/16/2014

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Directions to “ DR. PASQUALE X. MONTESANO M.D.” Practice Location

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