Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ajay Kumar Mangal, MD

Individual provider Otolaryngology Physician · NPI 1669706347

Ajay Kumar Mangal, MD is an Otolaryngology in Lake Wales, Florida. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1984, 42 years ago. Practices with Osceola Surgical Associates LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Florida, Illinois and Ohio.

Years since qualifying
42
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
FL, IL, OH
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

423 Linden Ln
Lake Wales, FL 33853-4342
Phone: (863) 676-1960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME 110058 (FL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 35.054717 (OH)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 036-124396 (IL)

Record details

NPI number1669706347
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 28, 2009
Last updated in NPPESFebruary 11, 2022
Mailing address423 Linden Ln, Lake Wales, FL 33853-4342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Osceola Surgical Associates Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lake Wales