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Individual
RHODERICK JAMES MANHATTAN
Active
Individual
RHODERICK JAMES MANHATTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6023642
FL
363A00000X
Physician Assistant
14837
NY
363A00000X
Physician Assistant
PA10004997
WA
363A00000X
Physician Assistant
Primary
PA9111321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112430800
—
FL
01
—
11736349
CAHQ
FL
01
—
7671688
CIGNA
FL
Enumeration date
06/16/2006
Last updated
05/26/2023
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