Individual
DR. MANUEL ALBERTO AMARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1600 SW ARCHER ROAD, DIVISION OF GASTROENTEROLOGY BOX 100214, GAINESVILLE, FL 32610-0214
(352) 273-9472
(352) 627-9002
Mailing address
1600 SW ARCHER ROAD, PO BOX 100214, GAINESVILLE, FL 32610-0214
(352) 273-9472
(352) 627-9002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036113752
IL
207RG0100X
Gastroenterology Physician
Primary
036-113752
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016936700
—
FL
05
—
036113752
—
IL
Enumeration date
06/25/2006
Last updated
04/28/2016
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