Individual
DR. MANISH L JANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
Mailing address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
ME107069
FL
2085R0202X
Diagnostic Radiology Physician
01062034A
IN
2085R0202X
Diagnostic Radiology Physician
ME107069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002343000
—
FL
01
—
149HP
BCBS FL
FL
Enumeration date
06/07/2007
Last updated
03/08/2022
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