Individual
DR. ABOO T MANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6484 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2042
(904) 744-7300
(904) 722-4271
Mailing address
2356 REESE WAY, JACKSONVILLE, FL 32246-0012
(904) 840-0494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS12073
FL
Other
Enumeration date
08/12/2011
Last updated
08/30/2024
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