MAMMANA INTERGRATED PHYSICAL MEDICINE INC (NPI# 1619592136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619592136 |
| Entity Type | Organization |
| Organization Name | MAMMANA INTERGRATED PHYSICAL MEDICINE INC |
| Practice Address |
15151 S Us Highway 441 Ste 200 Summerfield FL 34491-4482 |
| Practice Telephone | 3523070033 |
| Practice Fax Number | 3523071998 |
| Mailing Telephone | 3523070033 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | DR. THOMAS FRANK MAMMANA (OWNER) |
| Authorized Official Telephone | 3523070033 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
15151 S US HIGHWAY 441 STE 200 |
| City | SUMMERFIELD |
| State | FL |
| Zip Code | 34491-4482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473010 | Thomas J Mammana | Nurse Practitioner | 15151 S Us Highway 441 Ste 200, Summerfield, FL 34491-4482 | 2020-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282947 | Marlen D Ohair | Religious Nonmedical Nursing Personnel | 3424 Se 14th Pl, Summerfield, FL 34491 | 2019-02-28 |
| 1992262851 | Arms of Jesus | Adult Companion | 3424 Se 146th Pl, Summerfield, FL 34491 | 2019-02-27 |
| 1396230504 | Ashley Ellis Davis | Nurse Practitioner | 17823 Se 109th Ave, Suite 108, Summerfield, FL 34491 | 2018-06-29 |
| 1215429220 | Redeemed Hearts Inc | In Home Supportive Care | 14380 Se 61 Ave, Summerfield, FL 34491 | 2018-06-05 |
| 1336649649 | Michelle Wojciechowski | Nurse Practitioner | 15061 Se 103rd Ave, Summerfield, FL 34491 | 2018-02-14 |
| 1710406228 | Sasha Saidi | Pain Medicine | 16810 South Highway 441, Suite 502, Summerfield, FL 34491 | 2017-09-15 |
| 1598282915 | Acupuncture Wellness LLC | Acupuncturist | 15151 S. Hwy 441, Suite 100, Summerfield, FL 34491 | 2017-08-25 |
| 1699137489 | Lindsey Mckay | Registered Nurse | 14510 Se 91 St Terrace, Summerfield, FL 34491 | 2016-03-22 |
| 1295114791 | Michael Anthony Shamat | Chiropractor | 15151 Hwy 441, Summerfield, FL 34491 | 2015-05-29 |
| 1952711038 | John Wiley | Occupational Therapist | 15600 S. U.S. Hwy 441, B, Summerfield, FL 34491 | 2014-04-29 |
| Find all providers in zip 34491 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | SUMMERFIELD |
| Zip Code | 34491 |
Please comment or provide details below to improve the information on MAMMANA INTERGRATED PHYSICAL MEDICINE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.