Healthcare Provider Details

I. General information

NPI: 1437925047
Provider Name (Legal Business Name): MANA HEALTH PARTNERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 S TUTTLE AVE
SARASOTA FL
34239-2608
US

IV. Provider business mailing address

1317 EDGEWATER DR STE 1470
ORLANDO FL
32804-6350
US

V. Phone/Fax

Practice location:
  • Phone: 732-730-7480
  • Fax: 702-441-2580
Mailing address:
  • Phone: 732-719-5039
  • Fax: 888-690-5380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MITCH SCHWARZ
Title or Position: DIRECTOR ANCILLARY SERVICES
Credential:
Phone: 224-777-8045