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Dr. C. Ted Montgomery, MD
Specialist in Jacksonville, Florida
NPI 1093717159

C. Ted Montgomery is a Specialist based in Jacksonville, FL. C. Ted Montgomery practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for C. Ted Montgomery is 1093717159 and holds a License No. ME10755 (Florida).

The current practice location address for C. Ted Montgomery is 3550 University Blvd S, Jacksonville, FL and can be reached out via phone at 904-384-2240 and via fax at 904-448-0030.

Location: 3550 University Blvd S, Jacksonville, FL, 32204-1177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093717159
Provider Name
C. Ted Montgomery
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3550 University Blvd S, Jacksonville, FL, 32204-1177
Phone Number
904-384-2240
Fax Number
904-448-0030
Provider Enumeration Date
06/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371200100 05 FL
institution
Provider Business Practice Location Address Details
Address
3550 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-4225
Phone Number
904-384-2240
Fax Number
904-448-0030
person
Provider Business Mailing Address Details
Address
3550 University Blvd S
City
Jacksonville
State
Florida
Zip
32216-4225
Phone Number
904-384-2240
Fax Number
904-448-0030
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME10755 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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