Mantz, Constantine A.

Mantz, Constantine A. is an individual health care provider with primary practice located at 1419 Se 8Th Ter , Cape Coral FL 33990-3213. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mantz, Constantine A. can be contacted via phone (239) 772-3202.

Contact Information

Primary practice address
1419 Se 8Th Ter Cape Coral FL 33990-3213
Phone: (239) 772-3202
Fax: (239) 773-8346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0080838 Florida

Profile Details

NPI number 1396743290
LBN Legal business name Mantz, Constantine A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Apr 25th, 2017 - about 7 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 1396743290 NPPES
Florida Other 00794 UNIV. HLTHCR. PROVIDER #
Florida Other 272205 UNIV. HLTHCR. PROVIDER #
Florida Other 207227 UNIV. HLTHCR. PROVIDER #
Florida Other 592485899 UNIV. HLTHCR. PROVIDER #
Florida Other 4968199-001 UNIV. HLTHCR. PROVIDER #
Florida Other 24-00187 UNIV. HLTHCR. PROVIDER #
Florida Other 85447 UNIV. HLTHCR. PROVIDER #
Florida Other 160065 UNIV. HLTHCR. PROVIDER #
Florida Other 7082137 UNIV. HLTHCR. PROVIDER #
Florida Other ME80838A UNIV. HLTHCR. PROVIDER #
Florida MEDICAID 259822100 UNIV. HLTHCR. PROVIDER #
Florida Other 8329 UNIV. HLTHCR. PROVIDER #

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