DR. CHRISTY LYNN MANGANELLO M.D. NPI 1871734749

NPI Information

NPI: 1871734749
Provider Name: DR. CHRISTY LYNN MANGANELLO, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: KOPA LLC

PECOS Registration: Yes

Address:
5900 LAKE ELLENOR DR
ORLANDO, FL
ZIP 32809
Phone: (407) 352-2542
Get Directions

DR. Christy Lynn Manganello, M.D. is a family medicine in Orlando, FL with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Christy Lynn Manganello, M.D. NPI is 1871734749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5900 LAKE ELLENOR DR
ORLANDO, FL
ZIP 32809-618
Phone: (407) 352-2542
Fax: (407) 352-2547

The NPI 1871734749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics	ME122033	FLORIDA	No
2	207Q00000X	Family Medicine		ME122033	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	014948400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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