Individual provider · Type 1 NPI
Larry Joseph Manganello, APRN
Critical Care Medicine Nurse Practitioner · Tampa, FL
NPI number
1215417068
Active
Practice location
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Mailing address
3914 Roswell Pl
Land O Lakes, FL 34639-6206
Other practice locations
- 2 Tampa General Cir, Tampa, FL 33606-3571 · (813) 821-8038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN2519972 (FL) |
| Gerontology Nurse Practitioner | 363LG0600X | APRN2519972 (FL) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | APRN2519972 (FL) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1215417068
Larry Joseph Manganello, APRN's National Provider Identifier is 1215417068, issued on Aug 20, 2018. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Tampa, FL. The record was last updated on Jan 24, 2022.