Mangal, Walid

Mangal, Walid is an sole proprietor health care provider with primary practice located at 1050 Se Monterey Road, Suite #104 Florida Vision Institute Inc., Stuart FL 34994. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Mangal, Walid can be contacted via phone (772) 283-2020.

Contact Information

Primary practice address
1050 Se Monterey Road, Suite #104 Florida Vision Institute Inc. Stuart FL 34994
Phone: (772) 283-2020
Fax: (772) 219-7924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS12479 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X H0074109 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0102203133 Virginia
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X OS12479 Florida

Profile Details

NPI number 1659529055
LBN Legal business name Mangal, Walid
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2008
Last updated May 5th, 2017 - about 9 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 1659529055 NPPES
Maryland MEDICAID 0552984 01
Maryland MEDICAID 1659529055

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