| Mardi Eden Mangus, DPT | |
|
708 3rd St N, Jacksonville Beach, FL 32250-7149 | |
| (904) 822-4622 | |
| Not Available |
| Full Name | Mardi Eden Mangus |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 708 3rd St N, Jacksonville Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144955584 | NPI | - | NPPES |
| PT38833 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT38833 (Florida) | Primary |
| Provider Name | Concierge Physio Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1013559632 PECOS PAC ID: 4082047667 Enrollment ID: O20191212002095 |
| Mailing Address | Practice Location Address |
|---|---|
| Mardi Eden Mangus, DPT 309 Runaway Cir, Ponte Vedra Beach, FL 32082-1255 Ph: (716) 860-8021 | Mardi Eden Mangus, DPT 708 3rd St N, Jacksonville Beach, FL 32250-7149 Ph: (904) 822-4622 |
Healthwave Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Penman Rd Ste C, Jacksonville Beach, FL 32250 Phone: 904-242-0707 | |
Mrs. Stephanie Lynn Haynes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1482 3rd St S, Jacksonville Beach, FL 32250 Phone: 904-246-3232 Fax: 904-246-3626 | |
Michael Ryan, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1312 3rd St N, Jacksonville Beach, FL 32250 Phone: 904-465-5277 | |
Sydney Lautzenheiser, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 904-853-5106 | |
Janae Michelle O'bryant, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1577 Roberts Dr Ste 320, Jacksonville Beach, FL 32250 Phone: 904-247-3324 Fax: 904-247-3926 | |
Dr. Samantha Larson Anello, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3316 3rd St S, Suite 104, Jacksonville Beach, FL 32250 Phone: 904-685-8109 Fax: 904-249-0907 | |
Dr. Andrea N Buck, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 904-853-5106 |