# AMERISPAN MULTISPECIALTY INC

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

## Provider details

- **NPI number:** 1962538249
- **Authorized official:** FRED S MANN MD (PRESIDENT)
- **Authorized official phone:** (305) 858-2228

## Contact information

- **Practice address:** 1313 SW 27TH AVENUE, MIAMI, FL 33145
- **Practice address phone:** (305) 858-2228
- **Practice address fax:** (305) 541-3220
- **Mailing address:** 1313 SW 27TH AVENUE, MIAMI, FL 33145
- **Mailing address phone:** (305) 858-2228
- **Mailing address fax:** (305) 541-3220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 01/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 375243700 | — | FL |