Monina Ilano Geda, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS12954 Issued in FL

Practice address

1909 Beach Blvd Ste 102
Jacksonville, FL 32250-2643

Phone

(904) 246-2752

Fax

(904) 246-2758

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1013116052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD",
            "address_2": "SUITE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502643",
            "telephone_number": "904-246-2752",
            "fax_number": "904-246-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 BEACH BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502643",
            "telephone_number": "904-246-2752",
            "fax_number": "904-246-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDA",
        "first_name": "MONINA",
        "middle_name": "ILANO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS12954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abel Gebre
• Astaire Gebremedhin
• Zena Gebretsadik
• Naomi Gebru
• Taylor M Ged, OTD, OTR/L
• Marie Laure Gedeon
• Stephen M Gedo Jr., PHD
• Connor L Geer, PT, DPT
• Margaret Lynn Geer
• Hans Geevers

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.