Individual
DR. MANUEL MENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-8247
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
ME86586
FL
207ZP0101X
Anatomic Pathology Physician
Primary
ME86586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003164285A
—
GA
05
—
004853400
—
FL
Enumeration date
08/25/2006
Last updated
03/11/2016
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