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Organization

PINELLAS EYE CARE PA

Active
Other names
Gulfcoast Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL H MANNING JR. M.D. (MEDICAL DIRECTOR)
(727) 895-2020
Entity
Organization

Contact information

Practice address
1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
(727) 895-2020
(727) 823-8796
Mailing address
1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
(727) 895-2020
(727) 823-8796

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
152WC0802X
Corneal and Contact Management Optometrist
152WP0200X
Pediatric Optometrist
207W00000X
Ophthalmology Physician
Primary
ME99008
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
332900000X
Non-Pharmacy Dispensing Site
FL
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
05/27/2010
Last updated
07/23/2024
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