Individual
DR. JAMES MANZANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7824 LAKE UNDERHILL ROAD SUITE H, ORLANDO, FL 32822
(877) 977-7463
(407) 792-4152
Mailing address
7824 LAKE UNDERHILL RD, STE H, ORLANDO, FL 32822-8201
(877) 977-7463
(407) 792-4152
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME82473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51311
BCBSFL
FL
01
—
51311Y
MEDICARE P-TAN
FL
Enumeration date
06/12/2006
Last updated
05/10/2021
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