NPI: 1396043261 · SAINT CLOUD, FL 34769 · Diabetes Educator Registered Nurse · NPI assigned 03/02/2011
| Authorized Official | PUTHENPURAYIL, SIBY (PHARMACIST) |
| NPI Enumeration Date | 03/02/2011 |
Other providers sharing the same authorized official: PUTHENPURAYIL, SIBY
| Provider | City | State | Total Paid |
|---|---|---|---|
| MANGO WELLNESS LLC | SAINT CLOUD | FL | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 117 | $0.00 |