Organization
MANA MEDICAL GROUP LLC
Active
Organization
MANA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVINASH BHANDARY MD (PHYSICIAN)
(352) 383-7703
Entity
Organization
Contact information
Practice address
1502 N DONNELLY ST STE 107, MOUNT DORA, FL 32757-2846
(407) 605-5621
Mailing address
150 EAST ROBINSON STREET, UNIT 1810, ORLANDO, FL 32801
(860) 216-7856
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME114143
FL
Other
Enumeration date
08/04/2015
Last updated
02/09/2018
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