Individual
LIANNE MANANQUIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
Mailing address
12860 DUNES LAKE TER, JACKSONVILLE, FL 32225-3886
(904) 302-1178
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1063
FL
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
04/29/2025
Last updated
06/17/2025
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