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1952371312
JOHNNA MANTINEO
PORT ORANGE, FL
NPI
1952371312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS0005684)
Enumeration Date
2006-01-26
Last Update Date
2012-06-21
Business Address
Dr. JOHNNA MANTINEO D.O.
5535 S WILLIAMSON BLVD SUITE 700
PORT ORANGE, FL 32128-8311
Phone number: 386-231-6300
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Mailing Address
Dr. JOHNNA MANTINEO D.O.
PO BOX 730729
ORMOND BEACH, FL 32173-0729
Phone number: 386-231-6300
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