Individual
LAERTES A MANUELIDIS
Active
Individual
LAERTES A MANUELIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME87314
FL
207ZD0900X
Dermatopathology (Pathology) Physician
ME87314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7082420
AETNA
FL
01
—
78611
BC BS OF FLA
FL
01
—
P00038301
RR MEDICARE
FL
Enumeration date
10/26/2005
Last updated
07/13/2026
Update your record
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