MANA MEDICAL GROUP LLC NPI 1649656331

NPI Information

  • NPI: 1649656331
  • Provider Name: MANA MEDICAL GROUP LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 10D2113609
  • Address: 1502 N DONNELLY ST STE 107
    MOUNT DORA, FL
    ZIP 32757
  • Phone: (407) 605-5621

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NPI Details

MANA MEDICAL GROUP LLC is an interventional pain medicine pain medicine in Mount Dora, FL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. MANA MEDICAL GROUP LLC NPI is 1649656331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1502 N DONNELLY ST STE 107
MOUNT DORA, FL
ZIP 32757-846
Phone: (407) 605-5621

The provider's authorized official is Avinash Bhandary .
The authorized official title is Physician and has the following contact phone number (352) 383-7703.

The CLIA number assigned to this NPI record is 10D2113609 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/4/2015 and was last updated on 2/9/2018.

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
1208VP0014XPain MedicineInterventional Pain MedicineME114143FLORIDAYes

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This page was last updated on: 11/21/2025

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