Individual
CHARLES MANGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 COMMERCIAL CT STE F, VENICE, FL 34292-1650
(941) 485-0121
Mailing address
411 COMMERCIAL CT, VENICE, FL 34292-1650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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