| Mango Health Llc | |
|
1490 Se Magnolia Ext Ocala FL 34471-4443 | |
| (352) 512-9703 | |
| Not Available |
| Full Name | Mango Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1490 Se Magnolia Ext, Ocala, Florida |
| Authorized Official Name and Position | Ali Mazhar Rana (PRESIDENT) |
| Authorized Official Contact | 3523335980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mango Health Llc 8051 N Tamiami Trl Ste E6 Sarasota FL 34243-2067 Ph: (352) 333-5980 | Mango Health Llc 1490 Se Magnolia Ext Ocala FL 34471-4443 Ph: (352) 512-9703 |
| NPI Number | 1336905116 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 6507204807 |
|---|---|
| Medicare Enrollment ID | O20240405001205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336905116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Gabriele Mitteregger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275296378 PECOS PAC ID: 4587056429 Enrollment ID: I20220126001801 |
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