MONICA MORTENSEN

JACKSONVILLE, FL
NPI1104869254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: FL  OS10132)
Additional Taxonomies208000000X Pediatrics
(Licence: FL  OS10132)
2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: IL  036-111969)
Enumeration Date2006-06-14
Last Update Date2015-12-10
Business Address
Dr. MONICA MORTENSEN D.O.
807 CHILDRENS WAY NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207-8426
Phone number: 904-697-3600
Mailing Address
Dr. MONICA MORTENSEN D.O.
PO BOX 191 PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 19732-0191
Phone number: 302-651-6212