Provider Demographics
NPI:1104228303
Name:MONTAS, MAYERLINNE (MD)
Entity type:Individual
Prefix:
First Name:MAYERLINNE
Middle Name:
Last Name:MONTAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAYERLINNE
Other - Middle Name:
Other - Last Name:MONTAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 772318
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33077-2318
Mailing Address - Country:US
Mailing Address - Phone:787-268-2848
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 772318
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33077-2318
Practice Address - Country:US
Practice Address - Phone:787-268-2848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34045235Z00000X
FL14419235Z00000X
PR2054235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist