| Mangowellness | |
|
2801 13th St Saint Cloud FL 34769-4134 | |
| (407) 593-2958 | |
| (407) 593-2957 |
| Full Name | Mangowellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 2801 13th St, Saint Cloud, Florida |
| Authorized Official Name and Position | Siby Thomas Puthenpurayil (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4075932958 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangowellness 2801 13th St Saint Cloud FL 34769-4134 Ph: (407) 593-2958 | Mangowellness 2801 13th St Saint Cloud FL 34769-4134 Ph: (407) 593-2958 |
| NPI Number | 1912570987 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Medicare PECOS PAC ID | 9931507266 |
|---|---|
| Medicare Enrollment ID | O20211018000865 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912570987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Lakhinder S Bhatia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619070851 PECOS PAC ID: 9032275797 Enrollment ID: I20090304000358 |
| Provider Name | Virginia V Santana Feliz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285851063 PECOS PAC ID: 9739108127 Enrollment ID: I20161110000620 |
| Provider Name | Lynette Whaley Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003464215 PECOS PAC ID: 9931505708 Enrollment ID: I20210901003504 |
| Provider Name | Sheeja Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174100556 PECOS PAC ID: 1759789084 Enrollment ID: I20230526000090 |
| Provider Name | Luis Joel Rodriguez Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992420467 PECOS PAC ID: 2163870148 Enrollment ID: I20231201000557 |
Jbm Health Services LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4898 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771 Phone: 863-512-4385 |
Neptune Chiropractic and Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4273 Neptune Rd, Saint Cloud, FL 34769 Phone: 248-701-5781 |
Adl Care Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Old Hickory Tree Rd Ste 107, Saint Cloud, FL 34772 Phone: 900-000-0000 |
Premier Endocrinology PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3004 17th St, Saint Cloud, FL 34769 Phone: 407-593-2910 Fax: 407-593-2913 |
Orlando Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Budinger Ave Ste 108, Saint Cloud, FL 34769 Phone: 407-892-3387 |
Trusted to Care Medical & Wellness Center, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2021 13th St, Saint Cloud, FL 34769 Phone: 787-948-0768 |