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Individual

MONALI MANIKAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
100 WHETSTONE PL, SUITES 205, ST AUGUSTINE, FL 32086-5774
(904) 819-9925
(904) 819-9926
Mailing address
1093 A1A BEACH BLVD, PMB 415, ST AUGUSTINE, FL 32080-6733
(904) 819-9925
(904) 819-9926

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 81118
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
259789600
FL
Enumeration date
07/15/2006
Last updated
08/20/2012
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