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Organization
MANGROVE HEALTH PROVIDER, LLC
Active
Organization
MANGROVE HEALTH PROVIDER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA C CASTANEDA (CEO)
(305) 606-4603
Entity
Organization
Contact information
Practice address
11373 SW 211TH ST, MIAMI, FL 33189-2245
(954) 699-7766
Mailing address
5966 S DIXIE HWY STE 300, SOUTH MIAMI, FL 33143-5177
(305) 606-4603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/17/2024
Last updated
06/12/2026
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