Individual
CONSTANTINE A. MANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1419 SE 8TH TER, CAPE CORAL, FL 33990-3213
(239) 772-3202
(239) 773-8346
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
ME80838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00794
UNIV. HLTHCR. PROVIDER #
FL
01
—
160065
WELLCARE (STAYWELL-MEDICAID AND WELLCARE-MEDICARE)
FL
01
—
207227
AMERIGROUP GROUP #
FL
01
—
24-00187
UTD. HLTHCR. PROVIDER #
FL
05
—
259822100
—
FL
01
—
272205
AVMED PROVIDER NUMBER
FL
01
—
4968199-001
CIGNA PROVIDER NUMBER
FL
01
—
592485899
METCARE VENDOR ID #
FL
01
—
7082137
AETNA PROVIDER NUMBER
FL
01
—
8329
AVMED PIN NUMBER
FL
01
—
85447
OP. ENG. LOC. 825 PROV. #
FL
01
—
ME80838A
METCARE PROVIDER ID #
FL
Enumeration date
07/13/2005
Last updated
02/25/2025
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