Mana Medical Group LLC
Pain Medicine, Interventional Pain Medicine in Mount Dora, FL. Organization (NPI-2).
NPI number1649656331
StatusActive
Last updated in NPPESFeb 9, 2018
Details
- NPI
- 1649656331
- Entity type
- Organization (NPI-2)
- Legal business name
- Mana Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2015
- Last updated
- Feb 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | ME114143 | FL | Yes |
Practice location
1502 N Donnelly St Ste 107Mount Dora, FL 32757-2846
Phone 407-605-5621
Mailing address
150 East Robinson StreetUnit 1810
Orlando, FL 32801
Phone 860-216-7856
Authorized official
Avinash Bhandary
Physician
3523837703
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