Individual
FRED S MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 SW 27TH AVE, MIAMI, FL 33145-1252
(305) 858-2228
(305) 541-3220
Mailing address
1313 SW 27TH AVE, MIAMI, FL 33145-1252
(305) 858-2228
(305) 541-3220
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 0051964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061433500
—
FL
Enumeration date
08/20/2006
Last updated
01/24/2012
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