Manganello, Larry Joseph
Manganello, Larry Joseph is an individual health care provider with primary practice located at 3001 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6307. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is his primary health care specialty. Manganello, Larry Joseph can be contacted via phone (813) 870-4000.Contact Information
Primary practice address
3001 W Dr Martin Luther King Jr Blvd
Tampa FL 33607-6307
Phone: (813) 870-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN2519972 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN2519972 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | APRN2519972 | Florida |
Profile Details
NPI number | 1215417068 |
---|---|
LBN Legal business name | Manganello, Larry Joseph |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2018 |
Last updated | Jan 24th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215417068 | NPPES |
Florida | Other | H69WA | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 103924800 | BLUE CROSS BLUE SHIELD |
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