Individual ProviderNazly MontanoPediatricsAllopathic & Osteopathic PhysiciansPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334(954) 424-7000PECOS EnrollmentBased on the most recent information from CMS, provider Nazly Montano does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1215018106Provider TypeIndividualFull NameMontano, NazlyCredentialMDGenderFemaleSole ProprietorNoEnumeration Date10/18/2006Last Updated8/16/2019Contact InformationPractice LocationPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334Phone(954) 424-7000Fax(954) 424-6003Mailing LocationMailing Address900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923Phone(954) 424-7000Fax(954) 424-6003Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME90107FloridaProvider IdentifiersIDDescriptionIssuerID269717300DescriptionMedicaidIssuerUnlistedFlorida