Provider Demographics
NPI:1447405972
Name:ATKINSON, MONICA (MD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:TALOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8411 BOCA GLADES BLVD E
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4058
Mailing Address - Country:US
Mailing Address - Phone:609-235-7623
Mailing Address - Fax:561-903-1460
Practice Address - Street 1:9960 CENTRAL PARK BLVD N STE 225
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1705
Practice Address - Country:US
Practice Address - Phone:561-724-5981
Practice Address - Fax:561-903-1460
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME166078207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0202169Medicaid
NJ160434Medicare PIN