| NPI | 1912570987 |
|---|---|
| Doing Business As | MANGOWELLNESS |
| Entity Type | Organization |
| Authorized Contact | SIBY THOMAS PUTHENPURAYIL Owner/Authorized Official 407-593-2958 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-07-24 |