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Organization
JENNIFER L MANNING OD PA
Active
Organization
JENNIFER L MANNING OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MANNING (OPTOMETRIST)
(813) 545-2367
Entity
Organization
Contact information
Practice address
6633 80TH AVE N, PINELLAS PARK, FL 33781-2061
(813) 545-2367
Mailing address
6633 80TH AVE N, PINELLAS PARK, FL 33781-2061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003837400
—
FL
Enumeration date
12/08/2011
Last updated
12/08/2011
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