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MANA MEDICAL GROUP LLC
NPI 1649656331
Pain Medicine - Interventional Pain Medicine in Mount Dora, FL

Active since August 04, 2015CLIA 10D2113609 · Waiver
1502 N DONNELLY ST STE 107, MOUNT DORA, FL 32757(407) 605-5621 Get Directions Write a Review

NPPES record last updated: February 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mana Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANA MEDICAL GROUP LLC (NPI 1649656331) is a healthcare organization registered as an interventional pain medicine in Mount Dora, Florida and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through May 24, 2028 and lists Avinash Bhandary, Physician, as its authorized official.

NPPES Registry Identity

NPI1649656331
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameMANA MEDICAL GROUP LLC
Location Address1502 N DONNELLY ST STE 107Mount Dora, FL 32757-2846
Mailing Address150 East Robinson Street, Unit 1810Orlando, FL 32801 · (860) 216-7856
Phone(407) 605-5621
Organization SubpartNo
Authorized OfficialAvinash BhandaryPhysician · (352) 383-7703
Enumeration DateAugust 4, 2015
Last NPPES UpdateFebruary 9, 2018
✔ NPI 1649656331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in FL · ME114143
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
1502 N DONNELLY ST STE 107, Mount Dora, FL 32757
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2113609

Mana Medical Group LLC Dba Mana Spine · Orlando, FL
Active · expires May 24, 2028
CLIA Number10D2113609
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorAvi Bhandary
Laboratory Phone(407) 605-5621
Laboratory LocationMana Medical Group LLC Dba Mana Spine7984 Forest City Road Suite 104, Orlando, FL 32810
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER MARIE CEDENO
Nurse Practitioner (Family)
1502 N DONNELLY ST STE 107
MOUNT DORA, FL 32757
Orange County (352) 383-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mana Medical Group LLC's NPI number?

The NPI number for Mana Medical Group LLC is 1649656331. It was assigned to this organization in the NPPES registry on August 4, 2015.

Where is Mana Medical Group LLC located?

Mana Medical Group LLC is located at 1502 N Donnelly St Ste 107, Mount Dora, FL 32757. The listed phone number is (407) 605-5621.

What is Mana Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Mana Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2113609) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mana Medical Group LLC was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.