Larry Joseph Manganello (NPI# 1215417068, PAC ID# 6507105046) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215417068 |
| PAC ID by PECOS | 6507105046 |
| Professional Enrollment ID | I20190228001195 |
| Full Name | Larry Joseph Manganello |
| Organization Legal Name | COGENT HEALTHCARE OF JACKSONVILLE, LLC |
| Address |
3100 E Fletcher Ave Tampa FL 33613-4613 |
| Phone Number | 8139716000 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759435944 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100173 | FLORIDA HOSPITAL TAMPA |
| 100109 | FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 8139716000 | COGENT HEALTHCARE OF JACKSONVILLE, LLC |
| 3100 E Fletcher Ave, Florida Hospital Tampa, Tampa, FL 33613-4613 | 8139716000 | SOUND PHYSICIANS OF FLORIDA IV, LLC |
| Organization Legal Name | COGENT HEALTHCARE OF JACKSONVILLE, LLC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roderick Hurt | Internal Medicine | Cogent Healthcare of Jacksonville, LLC | 830 Lakeside Cir, Pompano Beach, FL 33060-7748 |
| Ravi George | Hospitalist | Cogent Healthcare of Jacksonville, LLC | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 |
| John J Lee | Internal Medicine | Cogent Healthcare of Jacksonville, LLC | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 |
| Chirag R Patel | Internal Medicine | Cogent Healthcare of Jacksonville, LLC | 655 W 8th St, Jacksonville, FL 32209-6511 |
| Karthik Chakrala | Hospitalist | Cogent Healthcare of Jacksonville, LLC | 655 W 8th St, Jacksonville, FL 32209-6511 |
| Vijayarama R Vegesna | Hospitalist | Cogent Healthcare of Jacksonville, LLC | 655 W 8th St, Jacksonville, FL 32209-6511 |
| Mohamad Hatahet | Internal Medicine | Cogent Healthcare of Jacksonville, LLC | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 |
| Dhanvantri Muttevi | Hospitalist | Cogent Healthcare of Jacksonville, LLC | 655 W 8th St, Jacksonville, FL 32209-6511 |
| Walter B Frady | Hospitalist | Cogent Healthcare of Jacksonville, LLC | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 |
| James Tyler Rigney | Internal Medicine | Cogent Healthcare of Jacksonville, LLC | 60 Memorial Medical Pkwy, Palm Coast, FL 32164-5980 |
| Street Address |
3100 E FLETCHER AVE |
| City | TAMPA |
| State | FL |
| Zip | 33613-4613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn W Stambo | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Iosif Kelesidis | Cardiac Electrophysiology | West Florida Cardiovascular Co-management Associates, LLC | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Larry L Land | Emergency Medicine | Tampa Bay Emergency Physicians, LLC | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Kang C Compton | Certified Registered Nurse Anesthetist (crna) | Greater Florida Anesthesiologists LLC | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Brittani M Roberts | Certified Registered Nurse Anesthetist (crna) | Greater Florida Anesthesiologists LLC | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Manjari I Patel | Internal Medicine | Bay Area Hospitalists Pa | 3100 E Fletcher Ave, Tampa, FL 33613-4688 |
| Alamelu Murugappan | Neurology | Florida Hospital Physician Group Inc | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Brian H Churchman | Anesthesiology | Greater Florida Anesthesiologists LLC | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Candace Joy Breznau | Hospice/palliative Care | Chapters Health Palliative Care, LLC. | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Kerry H Haskins | Emergency Medicine | Tampa Bay Emergency Physicians, LLC | 3100 E Fletcher Ave, Tampa, FL 33613-4613 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shani V Davis | Nurse Practitioner | 15511 N Florida Ave, Suite 502, Tampa, FL 33613-1215 | |
| Nektarios S Demetriou | Family Medicine | Florida Hospital Physician Group Inc | 15511 N Florida Ave, Suite 401, Tampa, FL 33613-1220 |
| Alan J Iezzi | Family Medicine | Florida Hospital Physician Group Inc | 15511 N Florida Ave, Suite 401, Tampa, FL 33613-1220 |
| Richard Temple | Psychologist, Clinical | 322 W Bearss Ave, Tampa, FL 33613-1228 | |
| Maria Hicks | Dermatology | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Priya Ramani | Rheumatology | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Casey Lin Viera | Nurse Practitioner | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Tanya R Bogle | Family Medicine | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Seth Benjamin Forman | Dermatology | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| James W Batson Jr. | Chiropractic | 326 W Bearss Ave, Tampa, FL 33613-1266 | |
| Find all physicians in zip 33613 | |||
| City | TAMPA |
| Zip Code | 33613 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TAMPA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Larry Joseph Manganello.
| 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.