Active NPI
Mammana Intergrated Physical Medicine Inc
- General Practice Physician
- Summerfield, FL
National Provider Identifier
1619592136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MAMMANA INTERGRATED PHYSICAL MEDICINE INC
- Practice address
- 15151 S US Highway 441 Ste 200
Summerfield, FL 34491-4482 - Phone
- (352) 307-0033
- Fax
- (352) 307-1998
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Frank Mammana, DC
- Title
- Owner
- Phone
- (352) 307-0033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
15151 S US Highway 441 Ste 200
Summerfield, FL 34491-4482
Mailing address
15151 S US Highway 441 Ste 200
Summerfield, FL 34491-4482
Phone (352) 307-0033
National Provider Directory
National Provider DirectoryLocations
15151 S US Highway 441
Ste 200
Summerfield, FL 34491
Phone (352) 307-0033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600300800000",
"number": "1619592136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15151 S US HIGHWAY 441 STE 200",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344914482",
"telephone_number": "352-307-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15151 S US HIGHWAY 441 STE 200",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344914482",
"telephone_number": "352-307-0033",
"fax_number": "352-307-1998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAMMANA INTERGRATED PHYSICAL MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A",
"authorized_official_last_name": "MAMMANA",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "FRANK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-307-0033",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerfield, FL
- Courtney Marie Loynes, LMT
- Luna Beck MD & Associates PA
- Luna Beck MD & Associates PA
- Marco R Macaluso, MA, LPC
- Wendolin Mercedes Magana
- Thomas Frank Mammana, D.C.
- Genowefa Marcinkiewicz, PTA
- Marion Community Hospital, Inc. (HCA Florida Summerfield Emergency, a department of HCA Florida Ocala Hospital)
- Todd A Marlowe, APRN
- Ashton Nicolas Martin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.