# JENNIFER L MANNING OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932477650
- **Authorized official:** JENNIFER MANNING (OPTOMETRIST)
- **Authorized official phone:** (813) 545-2367

## Contact information

- **Practice address:** 6633 80TH AVE N, PINELLAS PARK, FL 33781-2061
- **Practice address phone:** (813) 545-2367
- **Mailing address:** 6633 80TH AVE N, PINELLAS PARK, FL 33781-2061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4285 | FL | Yes |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 12/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003837400 | — | FL |