Derek Mantlo
Derek Mantlo is a Contractor in High Springs, Florida. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
20688 NW 252nd StHigh Springs, FL 32643-8419
Phone: (352) 275-1652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1962825182 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 23, 2014 |
| Last updated in NPPES | February 10, 2014 |
| Mailing address | Po Box 793, Alachua, FL 32616-0793 |
Other providers in High Springs
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Marita Guilderson, LMT
14253 NW 232nd St, High Springs, FL 32643-6855 · (386) 454-3761