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Individual

MANHUA C SUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 AVENUE F NE, DEPT. OF PATHOLOGY, WINTER HAVEN, FL 33881-4131
(863) 293-1121
(863) 291-6071
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME96693
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000223200
FL
Enumeration date
04/06/2006
Last updated
05/06/2009
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