Individual
DR. RAJENDRASINH P MANGROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 MILITARY TRAIL, SUITE 206, JUPITER, FL 33458-4812
(561) 691-1400
(561) 691-1423
Mailing address
4600 MILITARY TRAIL, SUITE 206, JUPITER, FL 33458-4812
(561) 691-1400
(561) 691-1423
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MEOO51839
FL
2084P0802X
Addiction Psychiatry Physician
MEOO51839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062125100
—
FL
Enumeration date
08/15/2005
Last updated
05/07/2025
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