William Fitch Montfort IV, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

101 Vernon Ave BLDG 89-a
Panama City Beach, FL 32407-7018

Phone

(850) 235-5092

Fax

(850) 230-7208

NPI assigned

Nov 18, 2008

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1750536876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 VERNON AVE BLDG 89-A",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324077018",
            "telephone_number": "850-235-5092",
            "fax_number": "850-230-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VERNON AVE BLDG 89-A",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324077018",
            "telephone_number": "850-235-5092",
            "fax_number": "850-230-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTFORT",
        "first_name": "WILLIAM",
        "middle_name": "FITCH",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly D Moskowitz, MS MD LLC

• Independent Duty Corpsman in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Independent Duty Corpsman in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.