ANTHONY MENNELLA PA-C NPI 1669439295

NPI Information

  • NPI: 1669439295
  • Provider Name: ANTHONY MENNELLA, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 1600 SW ARCHER RD
    GAINESVILLE, FL
    ZIP 32610
  • Phone: (352) 392-1161

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NPI Details

Anthony Mennella, PA-C is a medical physician assistant in Gainesville, FL. Anthony Mennella, PA-C NPI is 1669439295. 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:

1600 SW ARCHER RD
GAINESVILLE, FL
ZIP 32610-003
Phone: (352) 392-1161
Fax: (352) 392-5078

The enumeration date for this NPI number is 4/27/2006 and was last updated on 1/10/2011.

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
1363A00000XPhysician AssistantPA1544FLORIDANo
2363AM0700XPhysician AssistantMedicalPA1544FLORIDAYes

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
1002936000MEDICAIDFLORIDA
2ED874ZMEDICARE PINFLORIDA

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: 3/30/2025

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