Individual
DR. CARL E MANTECON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1402 OHIO AVE, LYNN HAVEN, FL 32444-3743
(850) 265-0499
(850) 268-6563
Mailing address
1402 OHIO AVE, LYNN HAVEN, FL 32444-3743
(850) 265-0499
(850) 265-6563
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25901
FL
Other
Enumeration date
09/10/2011
Last updated
02/01/2012
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