Mr. Larry Joseph Manganello
Nurse Practitioner - Gerontology Nurse Practitioner - Family Medicine Nurse Practitioner - Critical Care Medicine
3001 W Dr Martin Luther King Jr Blvd
Tampa
, Florida 33607-6307
Mr. Larry Joseph Manganello
Nurse Practitioner - Gerontology Nurse Practitioner - Family Medicine Nurse Practitioner - Critical Care Medicine
3001 W Dr Martin Luther King Jr Blvd
Tampa
, Florida 33607-6307
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About
Features
Specialties
- Nurse Practitioner - Critical Care Medicine
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mr. Larry Joseph Manganello
- 3914 Roswell Pl
- Land O Lakes, FL
- Zip : 34639-6206
- Phone :
Second Address
- Mr. Larry Joseph Manganello
- 3001 W Dr Martin Luther King Jr Blvd
- Tampa, FL
- Zip : 33607-6307
- Phone : (813) 870-4000
Reviews
FAQs
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Is Mr. Larry Joseph Manganello a sole practitioner?
Is Mr. Larry Joseph Manganello accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN2519972 | FL |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN2519972 | FL |
| N | 363LG0600X | Nurse Practitioner - Gerontology | APRN2519972 | FL |
National Provider Identifier
| NPI | 1215417068 |
|---|---|
| Provider Name | Mr. Larry Joseph Manganello |
| First Address | Land O Lakes, FL 34639-6206 |
| Second Address | Tampa, FL 33607-6307 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2018 |
| Last Update Date | 24/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103924800 | (05) | FL |
| H69WA | BLUE CROSS BLUE SHIELD (01) | 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.