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1417148024

NPI Code Detail

MEDICARE: DR. DARRIN RICHARD MANGIACARNE D.O.

MEDICARE: DR. DARRIN RICHARD MANGIACARNE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0401X	Addiction Medicine (Family Medicine) Physician	21086	MS
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	02004594A	IN
3	207QA0401X	Addiction Medicine (Family Medicine) Physician	DR.0072851	AK
4	207QA0401X	Addiction Medicine (Family Medicine) Physician	0102203536	VA
5	207QA0401X	Addiction Medicine (Family Medicine) Physician	OS14247	FL
6	207QA0401X	Addiction Medicine (Family Medicine) Physician	OS014185	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417148024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARRIN RICHARD MANGIACARNE D.O.

Provider Business Mailing Address
First Line	:	225 N FEDERAL HWY
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-4319
Country	:	US
Telephone Number	:	561-465-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7859 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-3225
Country	:	US
Telephone Number	:	561-465-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	04/15/2026

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Directions to “ DR. DARRIN RICHARD MANGIACARNE D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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