Most Relevant Information
Provider Data
| NPI Number: | 1003213810 |
| Provider Name: | KIMBERLY MANGUS |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN9339286 |
Most Important Dates
| Enumeration Date: | 11/21/2014 |
| Last Updated: | 11/21/2014 |
Provider Practice Location
1239 E MAIN ST
BARTOW
FL
338305058
Practice Location Phone/Fax
| Phone: | 8635190575 |
| Fax: | 8635829251 |
Provider Mailing Location
PO BOX 1559
BARTOW
FL
338311559
Provider Mailing Phone/Fax
| Phone: | 8635190575 |
| Fax: | 8635829251 |