Individual
MR. MANIK KAUSHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MANAGER
Contact information
Practice address
637 JAMESTOWN BLVD APT 1162, ALTAMONTE SPRINGS, FL 32714-4637
(407) 536-1401
Mailing address
637 JAMESTOWN BLVD APT 1162, ALTAMONTE SPRINGS, FL 32714-4637
(407) 536-1401
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
K240-540-88-223-0
FL
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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