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DR. C. TED MONTGOMERY M.D.
NPI 1093717159
Specialist in Jacksonville, FL

Active since June 02, 2005
3550 UNIVERSITY BLVD S, STE 301, JACKSONVILLE, FL 32216(904) 384-2240(904) 448-0030 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. C. Ted Montgomery M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. C. TED MONTGOMERY M.D. (NPI 1093717159) is an individual specialist in Jacksonville, Florida, licensed in Florida (ME10755) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1093717159
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. C. TED MONTGOMERYCredential: M.D.
Location Address3550 UNIVERSITY BLVD S, STE 301Jacksonville, FL 32216-4225
Mailing Address915 W Monroe St, Ste 200Jacksonville, FL 32204-1177 · (904) 384-2240 · Fax (904) 448-0030
Phone(904) 384-2240
Fax(904) 448-0030
Sole ProprietorNo
Enumeration DateJune 2, 2005
Last NPPES UpdateNovember 24, 2009
✔ NPI 1093717159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME10755
Definition
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.
3550 UNIVERSITY BLVD S, Jacksonville, FL 32216
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Other Identifiers 3

Medicaid371200100FL
Medicare UPIND52938FL
Medicare PIN16538YFL

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD S PEREIRA MD
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, SUITE 302
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
DRS BAKER & GILMOUR MD PA
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, SUITE 302
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
JOHNNY JADA MD
Pediatrics
3550 UNIVERSITY BLVD S, STE 206
JACKSONVILLE, FL 32216
Duval County (904) 737-5600
DR. JOHNNY N JADA MD
Pediatrics
3550 UNIVERSITY BLVD S, STE 206
JACKSONVILLE, FL 32216
Duval County (904) 723-0015
DR. MOUSA R BATEH D.P.M.
Podiatrist (Primary Podiatric Medicine)
3550 UNIVERSITY BLVD S, STE 204
JACKSONVILLE, FL 32216
Duval County (904) 384-2240
DR. TREVOR O GREENE MD
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, STE 203
JACKSONVILLE, FL 32216
Duval County (904) 733-4444
MRS. MELLISSA SETTLES ARNP
Nurse Practitioner (Pediatrics)
3550 UNIVERSITY BLVD S, SUITE 206
JACKSONVILLE, FL 32216
Duval County (904) 737-5600
DR. SCOTT B BAKER MD
Internal Medicine (Cardiovascular Disease)
3550 UNIVERSITY BLVD S, STE 302
JACKSONVILLE, FL 32216
Duval County (904) 733-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C. Montgomery's NPI number?

The NPI number for C. Montgomery is 1093717159. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Where is C. Montgomery located?

C. Montgomery practices at 3550 University Blvd S Ste 301, Jacksonville, FL 32216. The listed phone number is (904) 384-2240.

What is C. Montgomery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for C. Montgomery was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.