Manganello, Christy Lynn

Manganello, Christy Lynn is an individual health care provider with primary practice located at 5900 Lake Ellenor Dr , Orlando FL 32809-4618. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Manganello, Christy Lynn can be contacted via phone (407) 352-2542.

Contact Information

Primary practice address
5900 Lake Ellenor Dr Orlando FL 32809-4618
Phone: (407) 352-2542
Fax: (407) 352-2547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME122033 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME122033 Florida

Profile Details

NPI number 1871734749
LBN Legal business name Manganello, Christy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2009
Last updated Sep 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871734749 NPPES
Florida MEDICAID 014948400

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