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Individual

DR. EMORY MATTHEW MANTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-2023
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-2023

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME124091
FL
207RG0100X
Gastroenterology Physician
ME124091
FL
207RI0008X
Hepatology Physician
ME124091
FL

Other

Enumeration date
06/15/2008
Last updated
10/02/2023
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