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Contact Information

WALID MANGAL, D.O
1050 SE MONTEREY ROAD, SUITE #104
FLORIDA VISION INSTITUTE INC.
STUART, FL34994
 Phone: 772-283-2020
 Fax: 772-219-7924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for WALID MANGAL · (Male)

NPI # 1659529055
Status Active
Credentials D.O
Entity Individual
Enumeration date 08/28/2008
Last updated 05/05/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS12479
  • MD License # H0074109
  • VA License # 0102203133
  • MD Medicaid 0552984 01
  • VA Medicaid 1659529055
Hospital affiliation(s) Not Available
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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