Grace Elizabeth Montes
General Practice Physician
554 Keily Street
Jacksonville
, Florida 32212
Grace Elizabeth Montes
General Practice Physician
554 Keily Street
Jacksonville
, Florida 32212
(757) 953-7560
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Grace Elizabeth Montes
- 554 Keily Street
- Jacksonville, FL
- Zip : 32212
- Fax : (757) 953-7560
- Phone : (757) 953-7550
Second Address
- Grace Elizabeth Montes
- 554 Keily Street
- Jacksonville, FL
- Zip : 32212
- Fax : (757) 953-7560
- Phone : (757) 953-7550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 0101263021 | VA |
National Provider Identifier
| NPI | 1023478542 |
|---|---|
| Provider Name | Grace Elizabeth Montes |
| First Address | Jacksonville, FL 32212 |
| Second Address | Jacksonville, FL 32212 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2016 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.