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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1013942473 | NPPES |
Florida | MEDICAID | 305303200 |
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