Organization
CA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MANCHON MD (MD)
(561) 523-3973
Entity
Organization
Contact information
Practice address
1035 S STATE ROAD 7 STE 119, WELLINGTON, FL 33414-6136
(561) 523-3973
Mailing address
1035 S STATE ROAD 7 STE 119, WELLINGTON, FL 33414-6136
(561) 523-3973
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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