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

Dr. Elias Moreno Mandujano, DO

Individual provider Family Medicine Physician · NPI 1477283679

Dr. Elias Moreno Mandujano, DO is a Family Practice in Tallahassee, Florida. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2022, 4 years ago. Practices with Capital Health Plan, Inc, a 44-clinician group. Licensed in Florida.

Years since qualifying
4
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
FL
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2140 Centerville Rd
Tallahassee, FL 32308-4314
Phone: (850) 383-3339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS20619 (FL)

Record details

NPI number1477283679
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 13, 2022
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2022 (4 years in practice)
Group practice Capital Health Plan, Inc — 44 clinicians
Accepts Medicare assignment Not indicated

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