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CONSTANTINE A MANTZ, MD – NPI #1396743290
Radiation Oncology

NPI Profile for CONSTANTINE A MANTZ in CAPE CORAL, FL.

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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 Specialty Code Provider Type

Radiation Oncology

 2085R0203X
Indicates primary specialty

NPI Profile & details for CONSTANTINE A MANTZ · (Male)

NPI Number 1396743290
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2005
Last updated 02/25/2025 - More than a year ago
Sole proprietor 1 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(s)
  • CAPE CORAL HOSPITAL - (Acute Care)
    636 DEL PRADO BLVD
    CAPE CORAL, FL 33990
  • GULF COAST MEDICAL CENTER LEE MEMORIAL HEALTH SYSTEM - (Acute Care)
    13681 DOCTOR'S WAY
    FORT MYERS, FL 33912
  • LEE MEMORIAL HOSPITAL - (Acute Care)
    2776 CLEVELAND AVE
    FORT MYERS, FL 33901
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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