DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELIAS MORENO MANDUJANO, DO

Active Sole Proprietor

DR. ELIAS MORENO MANDUJANO, DO is a Family Medicine healthcare provider located in TALLAHASSEE, Florida. NPI 1477283679 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · TALLAHASSEE, FL

Registration Details

NPI Number
1477283679
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2022 (4.191948635803 yrs)
Last Updated
Jul 28, 2025
License
OS20619 (FL)
Sole Proprietor
Yes

Practice Information

Address
2140 CENTERVILLE RD
TALLAHASSEE, FL, 323084314
Browse FL providers · Browse ZIP 32308
Phone
8503833339
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in TALLAHASSEE, FL

Name Credential NPI
DR. DAVID EDWARD KAPROTH M.D. 1124021977
GREGG A ALEXANDER MD 1093718868
KRIS D STOWERS MD 1043213879
REMELDA T. SAUNDERS-JONES MD 1427053172
DR. FILEMON R PATACXIL M.D. 1659363018
DR. RACHEL D YANKEY MD 1770576209
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.