Mango Wellness LLC
NPI #1912570987 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1912570987
- Entity Type
- Organization
- Organization Name
- Mango Wellness LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MANGOWELLNESS LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 19, 2021
- Last Updated
- Jul 24, 2025
Practice Location
- Address
- 2801 13TH ST
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-4134
- Phone
- (407) 593-2958
Authorized Official
- Name
- SIBY THOMAS PUTHENPURAYIL, PHARMD
- Title
- OWNER/AUTHORIZED OFFICIAL
- Phone
- (407) 593-2958
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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