Individual
DR. HEMWATTIE S JAIMANGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8550 NE 138TH LN STE 500, LADY LAKE, FL 32159-6804
(352) 633-9858
(352) 633-9870
Mailing address
18981 US HIGHWAY 441 STE 121, MOUNT DORA, FL 32757-6735
(352) 633-9858
(352) 633-9870
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS10278
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000337900
—
FL
Enumeration date
07/22/2006
Last updated
06/05/2024
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