Mangat, Bhupinder S

Mangat, Bhupinder S is an sole proprietor health care provider with primary practice located at 1403 Medical Plaza Dr Ste 204, Sanford FL 32771-1047. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mangat, Bhupinder S can be contacted via phone (407) 324-5500.

Contact Information

Primary practice address
1403 Medical Plaza Dr Ste 204 Sanford FL 32771-1047
Fax: (407) 324-5584
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME34679 Florida

Profile Details

NPI number 1043213234
LBN Legal business name Mangat, Bhupinder S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Feb 21st, 2013 - about 11 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 1043213234 NPPES
Florida MEDICAID 371305900

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