| Emilio Isaac Montero, | |
| 
					655 West 8th Street Clinical Center - 2nd Floor, Jacksonville, FL 32209-6511  | |
| (904) 244-4195 | |
| (904) 244-4908 | 
| Full Name | Emilio Isaac Montero | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 655 West 8th Street Clinical Center - 2nd Floor, Jacksonville, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689485831 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9350269 (Florida) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11037370 (Florida) | Primary | 
| Entity Name | University Of Florida Jacksonville Physicians, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Emilio Isaac Montero, Po Box 44008, Jacksonville, FL 32231-4008 Ph: (904) 244-4195  | Emilio Isaac Montero, 655 West 8th Street Clinical Center - 2nd Floor, Jacksonville, FL 32209-6511 Ph: (904) 244-4195  | 
Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000  | |
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000  | |
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855  | |
Lindsay Michelle Putkowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111  | |
Michelle Alicia Coy, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St Dept 5000, Jacksonville, FL 32214 Phone: 904-542-7300  | |
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000  | |
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220  |