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Individual

CAROL MANNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
655 W 8TH ST, UFJP PEDIATRICS, JACKSONVILLE, FL 32209-6511
(904) 244-3056
Mailing address
841 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8364

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME100069
FL
208000000X
Pediatrics Physician
TRN7742
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME100069
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05512
BCBS
FL
05
2795531-00
FL
05
322308221A
GA
Enumeration date
01/09/2007
Last updated
04/23/2025
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