Individual
DR. ANGELICA MAIRIM MANGUAL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1855 WELLS RD STE 1, ORANGE PARK, FL 32073-6766
(904) 523-1287
(904) 615-6919
Mailing address
1855 WELLS RD STE 1, ORANGE PARK, FL 32073-6766
(904) 523-1287
(904) 615-6919
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
TPPY2588
FL
103T00000X
Psychologist
—
PR
103TC0700X
Clinical Psychologist
Primary
7709
PR
103TC1900X
Counseling Psychologist
TPPY2588
FL
Other
Enumeration date
10/17/2018
Last updated
02/19/2026
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