Jere Mammino, DO

NPI #1336259886 in Oviedo, Florida

Provider Information

NPI Number: 1336259886
Entity Type: Individual
Name: Jere Mammino, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: DO
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1410 W BROADWAY ST STE 102
City: Oviedo
State: Florida
ZIP Code: 32765-6537
Phone: (407) 359-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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