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

DEREK MANTLO

Active

DEREK MANTLO is a Contractor healthcare provider located in HIGH SPRINGS, Florida. NPI 1962825182 is currently active in the NPPES registry. Verify at CMS.

Contractor · HIGH SPRINGS, FL

Registration Details

NPI Number
1962825182
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2014 (12.592841196953 yrs)
Last Updated
Feb 10, 2014

Practice Information

Address
20688 NW 252ND ST
HIGH SPRINGS, FL, 326438419
Browse FL providers · Browse ZIP 32643
Phone
3522751652
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in HIGH SPRINGS, FL

Name Credential NPI
MARITA GUILDERSON LMT 1376810762
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.