Individual provider · Type 1 NPI

Anthony Mennella, PA-C

Medical Physician Assistant · Gainesville, FL

NPI number 1669439295 Active

Practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Call (352) 392-1161 Map

Fax (352) 392-5078

Mailing address

PO Box 918025
Orlando, FL 32891-8025

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA1544 (FL)
Medical Physician Assistant Primary 363AM0700XPA1544 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1669439295

Anthony Mennella, PA-C's National Provider Identifier is 1669439295, issued on Apr 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, FL. The record was last updated on Jan 10, 2011.