Provider Demographics
NPI:1538431879
Name:LICHTIGER, MONTE (MD)
Entity type:Individual
Prefix:
First Name:MONTE
Middle Name:
Last Name:LICHTIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3475 S MOORINGS WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6517
Mailing Address - Country:US
Mailing Address - Phone:305-665-4480
Mailing Address - Fax:305-665-4511
Practice Address - Street 1:3475 S MOORINGS WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-6517
Practice Address - Country:US
Practice Address - Phone:305-665-4480
Practice Address - Fax:305-665-4511
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12356207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology