Mancini, Joseph A

Mancini, Joseph A is an sole proprietor health care provider with primary practice located at 635 1St St N , Winter Haven FL 33881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mancini, Joseph A can be contacted via phone (863) 294-0670.

Contact Information

Primary practice address
635 1St St N Winter Haven FL 33881
Fax: (863) 298-3200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME44524 Florida

Profile Details

NPI number 1417926924
LBN Legal business name Mancini, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jun 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417926924 NPPES
Florida Other 160020149 MEDICARE ID / RRM PIN
Florida MEDICAID 044432400 MEDICARE ID / RRM PIN

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