Individual
DR. NICHOLAS J MANZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 393-8701
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00013879
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009980545
—
AL
Enumeration date
06/07/2006
Last updated
11/01/2012
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