Individual
DR. PETER MICHAEL MANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3291 E OLIVE RD, PENSACOLA, FL 32514-6241
(850) 494-2327
(850) 494-2329
Mailing address
PO BOX 17567, PENSACOLA, FL 32522-7567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME38433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042767500
—
FL
Enumeration date
04/11/2006
Last updated
02/17/2020
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