DR. Johnna Mantineo, D.O.

NPI #1952371312 in Port Orange, Florida

Provider Information

NPI Number
1952371312
Entity Type
Individual
Name
DR. Johnna Mantineo, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Jan 26, 2006
Last Updated
Jun 21, 2012

Practice Location

Address
5535 S WILLIAMSON BLVD
Address 2
SUITE 700
State
Florida
ZIP Code
32128-8311
Phone
(386) 231-6300

Specialties & Taxonomy Codes

Specialty
Family Medicine

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