DR. MARCO ANTONIO MONGALO DDS NPI 1619535309

NPI Information

NPI: 1619535309
Provider Name: DR. MARCO ANTONIO MONGALO, DDS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
2684 CAHILL WAY
LAKE MARY, FL
ZIP 32746
Phone: (407) 325-1977
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DR. Marco Antonio Mongalo, DDS is a student in an organized health care education training program in Lake Mary, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Marco Antonio Mongalo, DDS NPI is 1619535309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2684 CAHILL WAY
LAKE MARY, FL
ZIP 32746-322
Phone: (407) 325-1977

The enumeration date for this NPI number is 5/29/2019 and was last updated on 5/29/2019.

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	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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: 4/28/2024

NPI Synchronization or Removal

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