Individual
DOMENICO MICHAEL MANAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
176 WHITE MARSH DR, PONTE VEDRA, FL 32081-6045
(508) 728-8225
Mailing address
176 WHITE MARSH DR, PONTE VEDRA, FL 32081-6045
(508) 728-8225
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
41634
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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