MANA MEDICAL GROUP LLC


Address: 1502 N Donnelly St Ste 107, Mount Dora, FL 32757-2846
Phone: 4076055621

MANA MEDICAL GROUP LLC (NPI# 1649656331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649656331
Entity Type Organization
Organization Name MANA MEDICAL GROUP LLC
Practice Address 1502 N Donnelly St Ste 107
Mount Dora
FL 32757-2846
Mailing Address 150 East Robinson Street
Unit 1810
Orlando
FL 32801
Practice Telephone 4076055621
Mailing Telephone 8602167856
Enumeration Date 2015-08-04
Last Update Date 2018-02-09
Authorized Official Name DR. AVINASH BHANDARY (PHYSICIAN)
Authorized Official Telephone 3523837703
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
ME114143 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 1502 N DONNELLY ST STE 107
City MOUNT DORA
State FL
Zip Code 32757-2846

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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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1942765144 Nixpain LLC Pain Medicine 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 2019-02-01
1346737749 Ceda Orthopedics Group, LLC. Pain Medicine 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 2018-04-20
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Competitor

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City MOUNT DORA
Zip Code 32757

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Dataset Information

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.

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