Individual provider · Type 1 NPI

Basil Mangra, MD

Legal Medicine · Lauderdale Lakes, FL

NPI number 1114913688 Active · reactivated Apr 5, 2006

Practice location

3296N State Road 7
Lauderdale Lakes, FL 33319-5615

Fax (954) 909-5381

Specialties and licenses

TaxonomyCodeLicense
Legal Medicine Primary 173000000XME62781 (FL)

Legal Medicine: The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical …

About NPI 1114913688

Basil Mangra, MD's National Provider Identifier is 1114913688, issued on Sep 21, 2005. The primary taxonomy on file is Legal Medicine (173000000X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Jul 28, 2015.