Individual
GORDON MICHAEL MANIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
5109 N ARMENIA AVE, TAMPA, FL 33603-1405
(813) 801-9110
(813) 801-9048
Mailing address
5109 N ARMENIA AVE, TAMPA, FL 33603-1405
(813) 801-9110
(813) 801-9048
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
05/19/2026
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