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Individual
MR. JASON MANUEL
Active
Individual
MR. JASON MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2551
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
P02551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390397400
—
FL
01
—
480031776
RR MEDICARE
FL
01
—
65442
BLUE CROSS
FL
Enumeration date
11/18/2005
Last updated
04/23/2013
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