Healthcare Provider Details

I. General information

NPI: 1801724562
Provider Name (Legal Business Name): MUHAMMAD ABDUL MANAN MANGRAL M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 62ND AVE SUITE 401, LARKIN COMMUNITY HOSPITAL
SOUTH MIAMI FL
33143
US

IV. Provider business mailing address

7000 SW 62ND AVE SUITE 401, LARKIN COMMUNITY HOSPITAL
SOUTH MIAMI FL
33143
US

V. Phone/Fax

Practice location:
  • Phone: 305-284-7648
  • Fax:
Mailing address:
  • Phone: 305-284-7648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: