Provider Demographics
NPI:1538863170
Name:MONFISTON, CARL-HENRI (MD, MS)
Entity type:Individual
Prefix:DR
First Name:CARL-HENRI
Middle Name:
Last Name:MONFISTON
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 NW 165TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1434
Mailing Address - Country:US
Mailing Address - Phone:954-646-5325
Mailing Address - Fax:
Practice Address - Street 1:SURGICAL RESIDENCY TRAINING PROGRAM
Practice Address - Street 2:1611 NW 12TH AVE, HOLTZ BLDG ET 2169
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-585-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program