Individual
JOSEPH A MANCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 1ST ST N, WINTER HAVEN, FL 33881
(863) 294-0670
(863) 298-3200
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME44524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044432400
—
FL
01
—
160020149
MEDICARE ID / RRM PIN
FL
Enumeration date
03/16/2006
Last updated
06/12/2024
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