Dr. Tammy Lea Mangual
Nurse Practitioner - Adult Health
445 Pineda Ct Ste 100
Melbourne
, Florida 32940-7555
Dr. Tammy Lea Mangual
Nurse Practitioner - Adult Health
445 Pineda Ct Ste 100
Melbourne
, Florida 32940-7555
(321) 432-0573
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Dr. Tammy Lea Mangual
- 156 Clemente Dr
- Satellite Beach, FL
- Zip : 32937-5709
- Phone : (321) 432-0573
Second Address
- Dr. Tammy Lea Mangual
- 445 Pineda Ct Ste 100
- Melbourne, FL
- Zip : 32940-7555
- Phone : (212) 437-0603
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 3311522 | FL |
National Provider Identifier
| NPI | 1013942473 |
|---|---|
| Provider Name | Dr. Tammy Lea Mangual |
| First Address | Satellite Beach, FL 32937-5709 |
| Second Address | Melbourne, FL 32940-7555 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 24/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 305303200 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.