Manzella, Mary Margaret

Manzella, Mary Margaret is an individual health care provider with primary practice located at 704 W Dr Martin Luther King Jr Blvd , Seffner FL 33584-4534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Manzella, Mary Margaret can be contacted via phone (813) 681-4431.

Contact Information

Primary practice address
704 W Dr Martin Luther King Jr Blvd Seffner FL 33584-4534
Phone: (813) 681-4431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11005886 Florida

Profile Details

NPI number 1295345676
LBN Legal business name Manzella, Mary Margaret
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2020
Last updated Nov 2nd, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295345676 NPPES
Florida Other XHBJS BLUE CROSS BLUE SHIELD
Florida MEDICAID 108417000 BLUE CROSS BLUE SHIELD

Popular Providers