MR. WALID MANGAL


Address: 1050 Se Monterey Road, Suite #104, Florida Vision Institute Inc., Stuart, FL 34994
Phone: 7722832020

MR. WALID MANGAL (NPI# 1659529055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659529055
Entity Type Individual
Full Name MR. WALID MANGAL
Credential D.O
Practice Address 1050 Se Monterey Road, Suite #104
Florida Vision Institute Inc.
Stuart
FL 34994
Practice Telephone 7722832020
Practice Fax Number 7722197924
Mailing Telephone 7722832020
Mailing Fax Number 7722197924
Enumeration Date 2008-08-28
Last Update Date 2017-05-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology OS12479 FL Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 0102203133 VA Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology H0074109 MD Allopathic & Osteopathic Physicians
Y 207WX0107X Ophthalmology
Specialization: Retina Specialist
OS12479 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1659529055 05
MD 0552984 01 05

Office Location

Street Address 1050 SE MONTEREY ROAD, SUITE #104
FLORIDA VISION INSTITUTE INC.
City STUART
State FL
Zip Code 34994

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912543711 Prestige Medical Billing. Inc Durable Medical Equipment & Medical Supplies 2678 Se Willoughby Blvd, Stuart, FL 34994 2019-11-27
1780229203 Katherine Ginn Occupational Therapist 809 Se Central Parkway, Stuart, FL 34994 2019-11-07
1972167294 Melissa Callaham Lcsw Social Worker 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 2019-04-23
1053881300 Spencer Perna Chiropractor 632 Se Monterey Rd., Stuart, FL 34994 2018-11-29
1720563521 National Vision Inc Technician/Technologist 2600 Southeast Federal Highway, Stuart, FL 34994 2018-09-27
1649767351 Frank Alario Md & Associates Non-Pharmacy Dispensing Site 721 South Colorado Avenue, Stuart, FL 34994 2018-04-18
1609305499 Wideline Thelemaque-claire Behavior Technician 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 2017-06-06
1316488984 Jessica Gaffney Social Worker 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 2017-03-16
1578012035 Essentials Medical Group, LLC Internal Medicine 2694 Se Willoughby Blvd, Stuart, FL 34994 2016-09-26
1356898324 Waters Edge Dermatology Global LLC Surgery 2601 S Kanner Highway, Stuart, FL 34994 2016-09-07
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Taxonomy Information

Taxonomy Code 207WX0107X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Retina Specialist

Taxonomy Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new]
- Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598253791 Miami Eye & Retina, Inc Ophthalmology 4305 N Jefferson Ave, Miami Beach, FL 33140-2933 2018-04-24
1831608496 Comprehensive Retina Consultants Pllc Ophthalmology 1501 N Us Highway 441 Ste 1106, The Villages, FL 32159-6800 2017-09-27
1538441811 Pautler Cohen Findlay and Eichenbaum Mds Pa Ophthalmology 12903 N 56th St, Temple Terrace, FL 33617-1225 2011-09-13
1497076335 Elizabeth R Richter Ophthalmology 3920 Bee Ridge Rd Bldg D, Sarasota, FL 34233-1207 2010-06-15
1013234624 Christopher Roy Stelton Ophthalmology 3400 S Tamiami Trl Ste 101, Sarasota, FL 34239 2010-04-23
1457389447 Mandeep Singh Dhalla Ophthalmology 6333 N Federal Hwy Ste 300, Fort Lauderdale, FL 33308 2006-06-29
1336144575 Karina Billiris Findlay Ophthalmology 2705 W Saint Isabel St, Tampa, FL 33607-6319 2005-06-15
1659998482 Don Hershelson Noel Ophthalmology 900 Nw 17th St, Miami, FL 33136-1119 2020-06-27
1457918625 Gary Shienbaum Md Pa Ophthalmology 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 2019-05-23
1235625039 South Florida Retina Institute, Pllc Ophthalmology 20900 Ne 30th Ave Ste 207, Aventura, FL 33180 2018-07-03
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Competitor

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City STUART
Zip Code 34994

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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