LEO MANCINI PTA NPI 1750404547

NPI Information

  • NPI: 1750404547
  • Provider Name: LEO MANCINI, PTA
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 405 S SUMMIT STREET
    CRESCENT CITY, FL
    ZIP 32112
  • Phone: (386) 698-4720

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NPI Details

Leo Mancini, PTA is a specialist in Crescent City, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Leo Mancini, PTA NPI is 1750404547. 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:

405 S SUMMIT STREET
CRESCENT CITY, FL
ZIP 32112
Phone: (386) 698-4720
Fax: (386) 698-4866

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/8/2007.

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
1174400000XSpecialistPTA1429FLORIDAYes

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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