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Individual

DR. JOHN ANTHONY MANUBAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11343 CORTEZ BLVD, BROOKSVILLE, FL 34613-5404
(352) 596-5919
(352) 596-5918
Mailing address
14690 SPRING HILL DR, #101, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 799-0115

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME 75741
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00889
UNIVERSAL
FL
01
217051
WELLCARE
FL
01
241641
AVMED
FL
01
341975257
TRICARE
FL
01
341975257 0004
CIGNA
FL
01
3668439
AETNA
FL
01
44931
BC BS OF FL
FL
01
449310
BC BS NATL ACCOUNT
FL
01
P00015977
RAILROAD MEDICARE
FL
01
P01387681
RAILROAD MEDICARE
FL
Enumeration date
10/18/2006
Last updated
01/14/2015
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