Organization
MAMMANA INTERGRATED PHYSICAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS FRANK MAMMANA DC (OWNER)
(352) 307-0033
Entity
Organization
Contact information
Practice address
15151 S US HIGHWAY 441 STE 200, SUMMERFIELD, FL 34491-4482
(352) 307-0033
(352) 307-1998
Mailing address
15151 S US HIGHWAY 441 STE 200, SUMMERFIELD, FL 34491-4482
(352) 307-0033
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
09/17/2020
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