Individual
CATHERINE CONCEPCION MANGALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11020578
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11020578
FL
Other
Enumeration date
07/12/2022
Last updated
12/20/2024
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