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Contact Information

MONIQUE F FUENTES, PT
CAMELLIA AT DEERWOOD
10061 SWEETWATER PARKWAY
JACKSONVILLE, FL32256-3225
 Phone: 904-519-1034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MONIQUE F FUENTES · (Female)

NPI Number 1376799684
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/18/2008
Last updated 12/19/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PT11535
  • GA License # PT008398
Hospital affiliation(s) Not Available
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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