NPI 1003213810
Kimberly Mangus
Practice location
- Address
- 1239 E Main St, Bartow, FL 33830-5058
- Phone
- (863) 519-0575
- Fax
- (863) 582-9251
- Mailing address
- PO Box 1559, Bartow, FL 33831-1559
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1003213810
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Nov 2014
- Record last updated
- 21 Nov 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.