Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHNNA MANTINEO, D.O.
ActiveDR. JOHNNA MANTINEO, D.O. is a Family Medicine healthcare provider located in PORT ORANGE, Florida. NPI 1952371312 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORT ORANGE, FL
Registration Details
- NPI Number
- 1952371312
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2006 (20.527029309555 yrs)
- Last Updated
- Jun 21, 2012
- License
-
OS0005684 (FL)
Practice Information
- Address
-
5535 S WILLIAMSON BLVDSUITE 700PORT ORANGE, FL, 321288311Browse FL providers · Browse ZIP 32128
- Phone
- 3862316300
- Fax
- 3863226165
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. WESLEY JAY DRIGGERS | MD, PHD | 1891790309 |
| DR. CHRISTIAN A KOVATS | DO | 1063400117 |
| DR. CAROL M GAINES | DO | 1235117102 |
| MRS. JOANNE DEAUSEN SAXOUR | MD | 1811963341 |
| DONALD WHITE | M.D. | 1265401095 |
| DR. REHANA SIDDIQUI | MD | 1912964040 |
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.