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Penelope Mantilla, SA-C
Surgical Physician Assistant in Medley, Florida
NPI 1215526165

Penelope Mantilla is a Surgical Physician Assistant based in Medley, FL and is specialized in Surgical. Penelope Mantilla practices in Medley, FL and has the professional credentials of SA-C. The NPI Number for Penelope Mantilla is 1215526165 and holds a License No. (Florida).

The current practice location address for Penelope Mantilla is 10500 Nw 74Th St Apt 2-102, Medley, FL and can be reached out via phone at 312-672-2209.

Location: 10500 Nw 74Th St Apt 2-102, Medley, FL, 33178-2400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215526165
Provider Name
Penelope Mantilla
Credential
SA-C
Provider Entity Type
Individual
Gender
Female
Address
10500 Nw 74Th St Apt 2-102, Medley, FL, 33178-2400
Phone Number
312-672-2209
Fax Number
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10500 Nw 74Th St Apt 2-102
City
Medley
State
Florida
Zip
33178-2400
Phone Number
312-672-2209
Fax Number
person
Provider Business Mailing Address Details
Address
10500 Nw 74Th St Apt 2-102
City
Medley
State
Florida
Zip
33178-2400
Phone Number
312-672-2209
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Surgical Assistant
Taxonomy
246ZC0007X
License No.
()
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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