Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME127950 | FL |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME127950 | FL |
NPI | 1396979480 |
---|---|
Provider Name | Harvey Enrique Montijo |
First Address | Wellington, FL 33414-6109 |
Second Address | Wellington, FL 33414-6141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 24/09/2019 |