Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | ME106664 | FL |
NPI | 1184949182 |
---|---|
Provider Name | Dr. Migvis Monduy |
First Address | Miami, FL 33155-4071 |
Second Address | Miami, FL 33155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2010 |
Last Update Date | 02/07/2018 |