Organization
HEALTH SUITE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH K BANSAL MD (PRESIDENT)
(904) 307-7326
Entity
Organization
Contact information
Practice address
915 W MONROE ST, SUITE 301, JACKSONVILLE, FL 32204-1177
(904) 307-7326
Mailing address
10782 WAVERLY BLUFF WAY, JACKSONVILLE, FL 32223-6683
(904) 307-7326
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME96157
FL
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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