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Individual

CONSTANTINE A. MANTZ

Active
Find providers by NPI
Individual

CONSTANTINE A. MANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
ME80838
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00794
UNIV. HLTHCR. PROVIDER #
FL
01
—
160065
WELLCARE (STAYWELL-MEDICAID AND WELLCARE-MEDICARE)
FL
01
—
207227
AMERIGROUP GROUP #
FL
01
—
24-00187
UTD. HLTHCR. PROVIDER #
FL
05
—
259822100
—
FL
01
—
272205
AVMED PROVIDER NUMBER
FL
01
—
4968199-001
CIGNA PROVIDER NUMBER
FL
01
—
592485899
METCARE VENDOR ID #
FL
01
—
7082137
AETNA PROVIDER NUMBER
FL
01
—
8329
AVMED PIN NUMBER
FL
01
—
85447
OP. ENG. LOC. 825 PROV. #
FL
01
—
ME80838A
METCARE PROVIDER ID #
FL
Enumeration date
07/13/2005
Last updated
02/25/2025
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