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Individual

DR. BHUPINDER S MANGAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1403 MEDICAL PLAZA DR, STE 204, SANFORD, FL 32771-1047
(407) 324-5500
(407) 324-5584
Mailing address
1403 MEDICAL PLAZA DR, STE 204, SANFORD, FL 32771-1047
(407) 324-5500
(407) 324-5584

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME34679
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371305900
FL
Enumeration date
05/23/2005
Last updated
02/21/2013
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