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Kenneth Mandato
Vascular & Interventional Radiology Physician in The Villages, Florida
NPI 1871677682

Kenneth Mandato is a Vascular & Interventional Radiology Physician based in Leesburg, FL and is specialized in Vascular & Interventional Radiology. Kenneth Mandato practices in The Villages, FL. The NPI Number for Kenneth Mandato is 1871677682 and holds a License No. ME136921 (Florida).

The current practice location address for Kenneth Mandato is 910 Old Camp Rd Ste 120, The Villages, FL and can be reached out via phone at 352-787-5858 and via fax at 352-728-6749.

Location: 910 Old Camp Rd Ste 120, The Villages, FL, 34748-7601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871677682
Provider Name
Kenneth Mandato
Credential
Provider Entity Type
Individual
Gender
Male
Address
910 Old Camp Rd Ste 120, The Villages, FL, 34748-7601
Phone Number
352-787-5858
Fax Number
352-728-6749
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104390500 05 FL
institution
Provider Business Practice Location Address Details
Address
910 Old Camp Rd Ste 120
City
The Villages
State
Florida
Zip
32162-5605
Phone Number
352-787-5858
Fax Number
352-728-6749
person
Provider Business Mailing Address Details
Address
910 Old Camp Rd Ste 120
City
The Villages
State
Florida
Zip
32162-5605
Phone Number
352-787-5858
Fax Number
352-728-6749
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME136921 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
ME136921 (Florida)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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