Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. C. Ted Montgomery, MD

Individual provider Specialist · NPI 1093717159

Dr. C. Ted Montgomery, MD is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3550 University Blvd S Ste 301
Jacksonville, FL 32216-4225
Phone: (904) 384-2240
Fax: (904) 448-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME10755 (FL)

Record details

NPI number1093717159
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2005
Last updated in NPPESNovember 24, 2009
Mailing address915 W Monroe St, Ste 200, Jacksonville, FL 32204-1177

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