Patrick Terry Mangonon
Cardiothoracic Vascular Surgeon
305 Memorial Medical Pkwy Suite 308
Daytona Beach
, Florida 32117-5168
Patrick Terry Mangonon
Cardiothoracic Vascular Surgeon
305 Memorial Medical Pkwy Suite 308
Daytona Beach
, Florida 32117-5168
(386) 231-3602
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Patrick Terry Mangonon
- 305 Memorial Medical Pkwy Suite 308
- Daytona Beach, FL
- Zip : 32117-5168
- Fax : (386) 231-3602
- Phone : (386) 231-3600
Second Address
- Patrick Terry Mangonon
- 305 Memorial Medical Pkwy Suite 308
- Daytona Beach, FL
- Zip : 32117-5168
- Fax : (386) 231-3602
- Phone : (386) 231-3600
Reviews
FAQs
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What type of doctor is Patrick Terry Mangonon
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What is Patrick Terry Mangonon ’s gender?
Is Patrick Terry Mangonon a sole practitioner?
Is Patrick Terry Mangonon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME77600 | FL |
National Provider Identifier
| NPI | 1023067584 |
|---|---|
| Provider Name | Patrick Terry Mangonon |
| First Address | Daytona Beach, FL 32117-5168 |
| Second Address | Daytona Beach, FL 32117-5168 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 18/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 256707500 | (05) | FL |
| H04350 | (02) | 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.