Individual
DR. DAVID E MANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 MACK BAYOU LOOP STE 1000, SANTA ROSA BEACH, FL 32459-2613
(850) 622-0873
(850) 622-1912
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4686
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0072939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911907 (CRO)
—
AL
05
—
118296
—
AL
05
—
251926700
—
FL
01
—
347671
AVMED
FL
01
—
45078
BCBS OF FL
FL
01
—
591-92748
BCBS OF AL - CRESTVIEW
AL
01
—
591-92755
BCBS OF AL-DEFUNIAK SPGS
AL
01
—
P00426268
RAILROAD MEDICARE
FL
Enumeration date
11/22/2005
Last updated
04/08/2019
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