# PATRICK MANGONON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA FLORIDA THORACIC AND CARDIOVASCULAR SURGEONS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952446536
- **Authorized official:** PATRICK T MANGONON MD (PRESIDENT)
- **Authorized official phone:** (561) 753-7890

## Contact information

- **Practice address:** 13005 SOUTHERN BLVD, SUITE 103, LOXAHATCHEE, FL 33470-9206
- **Practice address phone:** (561) 753-7890
- **Practice address fax:** (561) 753-7775
- **Mailing address:** PO BOX 210474, ROYAL PALM BEACH, FL 33421-0474
- **Mailing address phone:** (561) 753-7890
- **Mailing address fax:** (561) 753-7775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME77600 | FL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 10/01/2009