Organization
FRED S. MANN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVETTE CRUZ ROSENBERG (ADMINISTRATOR)
(305) 858-2228
Entity
Organization
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
ME0051964
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061433500
—
FL
Enumeration date
01/28/2010
Last updated
01/28/2010
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