Female

Rebecca H. Mangali PA-C

Medical Physician Assistant in Daytona Beach, FL(View on Map)

Full Name

Rebecca Hema Mangali PA-C

NPI Number

1225327042

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/01/2011

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9105157

Contact
Information

Purpose

Mailing
Location

Address

145 CITY PLACE
303 N CLYDE MORRIS BLVD

City

Palm Beach
Daytona Beach

State

FL
FL

Postal Code

32164
32114-2709

Country

US
US

Telephone Number

(386) 302-0975
(386) 425-2285

Identifiers

Identifier

008265500
Y0EM6

Identifier State

FL
FL

Identifier Issuer

Unknown
BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/14/2021

Provider Address

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