Individual
ANTHONY D MANGUBAT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1381C CROSS CREEK CIR, TALLAHASSEE, FL 32301-3729
(850) 656-3163
(850) 656-3463
Mailing address
1709 SCARLETT BLVD, LYNN HAVEN, FL 32444-8324
(850) 277-0455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10456
FL
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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