Mangonon, Patrick Terry
Mangonon, Patrick Terry is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Suite 308, Daytona Beach FL 32117-5168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mangonon, Patrick Terry can be contacted via phone (386) 231-3600.Contact Information
Primary practice address
305 Memorial Medical Pkwy Suite 308
Daytona Beach FL 32117-5168
Phone: (386) 231-3600
Fax: (386) 231-3602
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME77600 | Florida |
Profile Details
NPI number | 1023067584 |
---|---|
LBN Legal business name | Mangonon, Patrick Terry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Oct 18th, 2016 - about 9 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 | 1023067584 | NPPES |
Florida | MEDICAID | 256707500 |
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