Individual
ASHLEY REED MANRESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1053 MEDICAL CENTER DR STE 101, ORANGE CITY, FL 32763-8259
(386) 774-2500
Mailing address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
(386) 736-4348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000150600
—
FL
Enumeration date
09/11/2008
Last updated
05/25/2023
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