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Raju Mangrola, MD, PA

Psychiatry & Neurology, Psychiatry in Jupiter, FL. Organization (NPI-2).

NPI number1295031920
StatusActive
Last updated in NPPESMay 7, 2025

Details

NPI
1295031920
Entity type
Organization (NPI-2)
Legal business name
Raju Mangrola, MD, PA
Organization subpart
No
Enumeration date
Jan 27, 2011
Certification date
May 7, 2025
Last updated
May 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry––Yes

Practice location

4600 Military Trail
Suite 206
Jupiter, FL 33458-4812

Phone 561-691-1400 · Fax 561-691-1423

Mailing address

4600 Military Trail
Suite 206
Jupiter, FL 33458-4812

Phone 561-691-1400 · Fax 561-691-1423

Authorized official

Raju Mangrola
M.D.
5616911400

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