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Dr. Bhupinder S Mangat

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NPI Number Detailed Information

Provider Information:

Name: Dr. Bhupinder S Mangat
Gender: M
Provider License Number If Given: ME34679

NPI Information:

NPI: 1043213234
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 2/21/2013

Provider Business Mailing Address:

Address: 1403 MEDICAL PLAZA DR STE 204
Sanford, FL 32771
Phone Number: 4073245500
Fax Number: 4073245584

Provider Business Practice Location Address:

Address: 1403 MEDICAL PLAZA DR STE 204
Sanford, FL 32771
Phone Number: 4073245500
Fax Number: 4073245584

Provider Taxonomy:

Primary: 174400000X
Secondary (if any):
State: FL

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