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Contact Information

DONALD R MONTGOMERY JR, MD
10101 W FOREST HILL BLVD
WELLINGTON, FL33414-6103
 Phone: 561-798-8535
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DONALD R MONTGOMERY JR · (Male)

NPI # 1487690897
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 10/31/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME71826
  • FL Medicaid 252341800
  • FL Other 41364 BLUE CROSS BLUE SHIELD
  • FL Other P00289215 RAILROAD MEDICARE
Hospital affiliation(s)
  • GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1309 N FLAGLER DR
    WEST PALM BEACH, FL 33401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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