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Organization
INFECTIOUS DISEASES ASSOCIATES OF NORTH FLORIDA, P.A.
Active
Organization
INFECTIOUS DISEASES ASSOCIATES OF NORTH FLORIDA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONALI MANIKAL M.D. (MANAGER)
(904) 819-9925
Entity
Organization
Contact information
Practice address
100 WHETSTONE PL, SUITE 205, ST AUGUSTINE, FL 32086-5774
(904) 819-9925
(904) 819-9926
Mailing address
1093 A1A BEACH BLVD, PMB 415, ST AUGUSTINE, FL 32080-6733
(904) 819-9925
(904) 819-9926
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME80064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259185500
—
FL
Enumeration date
10/03/2006
Last updated
11/03/2011
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