Individual
ROEL CRISOSTOMO MANGAOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 UNIVERSE BLVD, JUNO BEACH, FL 33408-2444
(561) 627-3800
Mailing address
239 BEVERLY RD, WEST PALM BEACH, FL 33405-4729
(754) 152-4310
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT7009
FL
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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