Individual provider · Type 1 NPI

C. Ted Montgomery, MD

Specialist · Jacksonville, FL

NPI number 1093717159 Active

Practice location

3550 University Blvd S, Ste 301
Jacksonville, FL 32216-4225

Fax (904) 448-0030

Mailing address

915 W Monroe St, Ste 200
Jacksonville, FL 32204-1177

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME10755 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093717159

C. Ted Montgomery, MD's National Provider Identifier is 1093717159, issued on Jun 2, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 24, 2009.