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Individual
DR. THOMAS MORE MANIDIS
Active
Individual
DR. THOMAS MORE MANIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8425
FL
111N00000X
Chiropractor
Primary
DC011317
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88507
OUT OF NETWORK BCBS PROVI
FL
01
—
CH8425
STATE LICENSE NUMBER
FL
01
—
DC011317
DC LICENSE
PA
Enumeration date
03/30/2007
Last updated
12/17/2021
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