DR. MONICA EDITH CANTU (NPI# 1598155830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598155830 |
| Entity Type | Individual |
| Full Name | DR. MONICA EDITH CANTU |
| Credential | MD |
| Practice Address |
1890 Lpga Blvd Ste 130 Primecare At Twin Lakes Daytona Beach FL 32117-7131 |
| Practice Telephone | 3862742212 |
| Practice Fax Number | 3862741508 |
| Mailing Telephone | 3862742212 |
| Mailing Fax Number | 3862741508 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME122370 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265849665 | Monica Resendez Cantu | Nurse Practitioner | 1139 E Sonterra Blvd Ste 405, San Antonio, TX 78258-4352 | 2014-07-17 |
| Street Address |
1890 LPGA BLVD STE 130 PRIMECARE AT TWIN LAKES |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003452681 | Primecare Acquisition Family Practice Inc | Family Medicine | 1890 Lpga Blvd Ste 130, Daytona Beach, FL 32117-7131 | 2019-11-19 |
| 1932680881 | Jamie J Johnson | Physician Assistant | 1890 Lpga Blvd Ste 130, Daytona Beach, FL 32117-7131 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
| 1669630422 | Cesar Arturo Calderon | General Practice | 3950 Tiger Bay Rd, Tomoka Correctional Institution Medical Dept, Daytona Beach, FL 32124-1098 | 2008-05-29 |
| 1750582151 | Milton Mendez | General Practice | 3950 Tiger Bay Road, Medical Department Tomoka Correctional Institution, Daytona Beach, FL 32124-1042 | 2007-05-31 |
| 1962579391 | Evan Demetrios Carratt | General Practice | 1243 S Ridgewood Ave, Daytona Beach, FL 32114-6127 | 2006-11-29 |
| 1508833104 | Luz M Alicea Berrios | General Practice | 1425 Dunn Ave, Daytona Beach, FL 32114 | 2006-03-02 |
| 1528699352 | Outreach Health Incorporated | General Practice | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2020-01-30 |
| 1760763114 | Angel Emanuel Benitez | General Practice | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 | 2011-08-30 |
| 1578699351 | Loretha King | General Practice | 143 Executive Cir, Daytona Beach, FL 32114-1180 | 2007-02-26 |
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|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
Please comment or provide details below to improve the information on DR. MONICA EDITH CANTU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.