National Provider Identifier Database

CONSTANTINE A MANTZ, MD – NPI #1396743290
Radiation Oncology

January 1, 2025 - Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

Contact Information

CONSTANTINE A MANTZ, MD
1419 SE 8TH TER
CAPE CORAL, FL  33990-3213
Phone: 239-772-3202
Fax: 239-773-8346
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0203X

* Indicates primary specialty

NPI Profile & details for CONSTANTINE A MANTZ

NPI Number 1396743290
Credentials MD
Entity Individual
Enumeration date 07/13/2005
Last updated 02/25/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • FL License #: ME80838
  • FL Medicaid: 259822100
  • FL Other: 7082137 AETNA PROVIDER NUMBER
  • FL Other: 207227 AMERIGROUP GROUP #
  • FL Other: 8329 AVMED PIN NUMBER
  • FL Other: 272205 AVMED PROVIDER NUMBER
  • FL Other: 4968199-001 CIGNA PROVIDER NUMBER
  • FL Other: ME80838A METCARE PROVIDER ID #
  • FL Other: 592485899 METCARE VENDOR ID #
  • FL Other: 85447 OP. ENG. LOC. 825 PROV. #
  • FL Other: 00794 UNIV. HLTHCR. PROVIDER #
  • FL Other: 24-00187 UTD. HLTHCR. PROVIDER #
  • FL Other: 160065 WELLCARE (STAYWELL-MEDICAID AND WELLCARE-MEDICARE)
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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