Individual
MANISHABEN D THAKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5376
(305) 689-3990
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5376
(305) 689-3990
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9303836
FL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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