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Individual

DR. MONA VISHIN MANGAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4965 CENTRAL AVE, ST PETERSBURG, FL 33710-8239
(727) 327-5719
Mailing address
4965 CENTRAL AVE, ST PETERSBURG, FL 33710-8239
(727) 327-5719

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME88726
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270694600
FL
Enumeration date
11/30/2006
Last updated
10/08/2013
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