Individual
DR. ANTONIO AUGUSTO MANRIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N HIATUS RD, PEMBROKE PINES, FL 33026-5213
(305) 610-5328
Mailing address
1104 NE 98TH ST, MIAMI SHORES, FL 33138-2508
(786) 624-9481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
135542
FL
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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