Abreonta Mango

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

7530 103Rd St Ste 4
Jacksonville, FL 32210-6786

Phone

(904) 577-4888

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rose RX LLC

  • Prosthetic/Orthotic Supplier
  • Jacksonville, FL
  • NPI 1316663552
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1750007068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 VICTORIA FALLS DR FL 32244",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443741",
            "telephone_number": "904-577-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 103RD ST STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322106786",
            "telephone_number": "904-577-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGO",
        "first_name": "ABREONTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Alexandra Manganiello, MD
• Kristy M Mangano
• Kelsie Roeisha Mangar
• Clara Julianne Mangin
• Rachel Gupton Mangine
• Mikaila Angeli-Olmedo Mangubat
• Julia Mangum
• Andrew Manhan
• Konstantinos Maniatakis, APRN
• Antony Maniatis, MD

• Prosthetics Case Management in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.