Theresa L Mantle (NPI# 1760875124, PAC ID# 3173844396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1760875124 |
| PAC ID by PECOS | 3173844396 |
| Professional Enrollment ID | I20150530000030 |
| Full Name | Theresa L Mantle |
| Organization Legal Name | CENTRAL FLORIDA FAMILY HEALTH CENTER INC |
| Address |
2400 State Rd Suite 415 Sanford FL 32771 |
| Phone Number | 4073228645 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3870519234 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5449 S Semoran Blvd, Suite 14, Orlando, FL 32822-1778 | 4073228645 | CENTRAL FLORIDA FAMILY HEALTH CENTER INC |
| 5449 S Semoran Blvd, Orlando, FL 32822-1778 | 4073228645 | CENTRAL FLORIDA FAMILY HEALTH CENTER INC |
| 2400 State Rd, Suite 415, Sanford, FL 32771 | 4073228645 | CENTRAL FLORIDA FAMILY HEALTH CENTER INC |
| 2400 State Rd, Sanford, FL 32771 | 4073228645 | CENTRAL FLORIDA FAMILY HEALTH CENTER INC |
| Organization Legal Name | CENTRAL FLORIDA FAMILY HEALTH CENTER INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aida A Behani | Internal Medicine | Central Florida Family Health Center Inc | 6101 Lake Ellenor Dr, Suite 105, Orlando, FL 32809-4616 |
| Lajada Mesesha Claiborne | Nurse Practitioner | Central Florida Family Health Center Inc | 5730 Lake Underhill Rd, Orlando, FL 32807-4366 |
| Janine M Kyte | Nurse Practitioner | Central Florida Family Health Center Inc | 5449 S Semoran Blvd, Suite 14, Orlando, FL 32822-1778 |
| Susan Kaeser | Nurse Practitioner | Central Florida Family Health Center Inc | 11881 -a E Colonial Dr, Orlando, FL 32826-4723 |
| William R Vivas | Podiatry | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Venkata K.r. Pothuraju | Family Medicine | Central Florida Family Health Center Inc | 6101 Lake Ellenor Dr, Suite 105, Orlando, FL 32809-4616 |
| Emma M Herrera | General Practice | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Milan Janmeja | Internal Medicine | Central Florida Family Health Center Inc | 11881 -a E Colonial Dr, Orlando, FL 32826-4723 |
| Peter H Oostwouder | Family Medicine | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Allison N Conley | Nurse Practitioner | Central Florida Family Health Center Inc | 6101 Lake Ellenor Dr, Suite 105, Orlando, FL 32809-4616 |
| Street Address |
2400 STATE RD SUITE 415 |
| City | SANFORD |
| State | FL |
| Zip | 32771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William R Vivas | Podiatry | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Emma M Herrera | General Practice | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Peter H Oostwouder | Family Medicine | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Dana Tate Solomon | Physician Assistant | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Kim-cheree T Jackson | Nurse Practitioner | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Luisa O Mena | General Practice | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Sherhonda Fevrier | Nurse Practitioner | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Jennifer F Simpkins | Family Practice | Central Florida Family Health Center Inc | 2400 State Rd, Sanford, FL 32771 |
| Tracy Lynn Colchamiro | Family Practice | Central Florida Family Health Center Inc | 2400 State Rd, Suite 415, Sanford, FL 32771 |
| Heather D Ford | Physician Assistant | Central Florida Family Health Center Inc | 2400 State Rd, Sanford, FL 32771 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angeline Quinones | Nurse Practitioner | Fl-i Medical Services LLC | 4525 Internatinal Pkwy, Sanford, FL 32771 |
| Denise Holloway | Nurse Practitioner | The Neurohealth Sciences Center, LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
| Matthew V Burry | Neurosurgery | The Neurohealth Sciences Center, LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
| Rafael Allende | Neurosurgery | The Neurohealth Sciences Center, LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
| Judith C. Mcdonald | Physician Assistant | Central Florida Physician Network LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
| Mubeen Hasan Chida | Cardiovascular Disease (cardiology) | 305 N Mangoustine Ave, Suite 200, Sanford, FL 32771-1004 | |
| Alberto M Maldonado | Cardiac Surgery | Central Florida Physician Network LLC | 305 N Mangoustine Ave, Suite 100, Sanford, FL 32771-1004 |
| Erik D Schoenberg | Otolaryngology | Central Florida Physician Network LLC | 200 N Mangoustine Ave, Sanford, FL 32771-1017 |
| Sarah A Holder | Obstetrics/gynecology | 1110 Lexington Green Ln, Sanford, FL 32771-1022 | |
| Adly Thebaud | Psychiatry | Adly Thebaud,md,pa | 1403 Medical Plz, Suite 202, Sanford, FL 32771-1047 |
| Find all physicians in zip 32771 | |||
| City | SANFORD |
| Zip Code | 32771 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SANFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Theresa L Mantle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.