Individual
GENEROSO MASANGKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
137 HOSPITAL DR, FORT WALTON BEACH, FL 32548
(850) 833-7599
(850) 833-7434
Mailing address
137 HOSPITAL DR, FORT WALTON BEACH, FL 32548
(850) 833-7599
(850) 833-7434
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 37527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068302700
—
FL
Enumeration date
03/07/2006
Last updated
03/01/2013
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