Individual
ABREONTA MANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7530 103RD ST STE 4, JACKSONVILLE, FL 32210-6786
(904) 577-4888
Mailing address
8675 VICTORIA FALLS DR FL 32244, JACKSONVILLE, FL 32244-3741
(904) 577-4888
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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