| Mammana Intergrated Physical Medicine Inc | |
|
15151 S Us Highway 441 Ste 200 Summerfield FL 34491-4482 | |
| (352) 307-0033 | |
| (352) 307-1998 |
| Full Name | Mammana Intergrated Physical Medicine Inc |
|---|---|
| Speciality | General Practice |
| Location | 15151 S Us Highway 441 Ste 200, Summerfield, Florida |
| Authorized Official Name and Position | Thomas Frank Mammana (OWNER) |
| Authorized Official Contact | 3523070033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mammana Intergrated Physical Medicine Inc 15151 S Us Highway 441 Ste 200 Summerfield FL 34491-4482 Ph: (352) 307-0033 | Mammana Intergrated Physical Medicine Inc 15151 S Us Highway 441 Ste 200 Summerfield FL 34491-4482 Ph: (352) 307-0033 |
| NPI Number | 1619592136 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619592136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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