Mangual, Tammy Lea

Mangual, Tammy Lea is an individual health care provider with primary practice located at 11780 Us Highway 1 Ste N107 , Palm Beach Gardens FL 33408-3007. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mangual, Tammy Lea can be contacted via phone (321) 449-6197.

Contact Information

Primary practice address
11780 Us Highway 1 Ste N107 Palm Beach Gardens FL 33408-3007
Phone: (321) 449-6197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3311522 Florida

Profile Details

NPI number 1013942473
LBN Legal business name Mangual, Tammy Lea
Credentials DNP, ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 5th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013942473 NPPES
Florida MEDICAID 305303200

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