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Individual
DR. NELSON MANE
Active
Individual
DR. NELSON MANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH4968
FL
207R00000X
Internal Medicine Physician
Primary
ME137501
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380646400
—
FL
01
—
592557391
TAX-ID NUMBER
FL
01
—
83-1611860
TAX ID
—
01
—
CH4968
CHIROPRACTOR LICENSE
FL
01
—
ME137501
MEDICAL LICENSE
FL
Enumeration date
12/05/2006
Last updated
01/04/2021
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