Individual
DR. MICHELLE MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(210) 589-9846
Mailing address
2428 OAK LANDING DR, BRANDON, FL 33511-7607
(210) 589-9846
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
OS22424
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
03/23/2018
Last updated
07/10/2025
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