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Individual

KIM H MANWARING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-2032
(321) 843-3570
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-2032
(321) 843-3570

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
13310
AZ
207T00000X
Neurological Surgery Physician
21094
NH
207T00000X
Neurological Surgery Physician
Primary
ME115953
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009357100
FL
05
251819
AZ
Enumeration date
03/29/2006
Last updated
10/18/2023
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