Organization
TODD P MANGIONE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD P MANGIONE DO (OWNER)
(941) 205-5555
Entity
Organization
Contact information
Practice address
103 W MARION AVE, PUNTA GORDA, FL 33950-4403
(941) 205-5555
(941) 205-5558
Mailing address
103 W MARION AVE, PUNTA GORDA, FL 33950-4403
(941) 205-5555
(941) 205-5558
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS10446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS10446
MEDICAL LICENSE
FL
Enumeration date
09/29/2010
Last updated
09/29/2010
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