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Organization

JASON MANUEL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON MANUEL DPM (OWNER)
(904) 223-8818
Entity
Organization

Contact information

Practice address
13400 SUTTON PARK DR S STE 1103, JACKSONVILLE, FL 32224-0235
(904) 223-8818
(904) 223-6969
Mailing address
13400 SUTTON PARK DR S STE 1103, JACKSONVILLE, FL 32224-0235
(904) 223-8818
(904) 223-6969

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6580198195
FL

Other

Enumeration date
02/08/2008
Last updated
08/18/2010
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