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Individual

DR. EDDIE WARD MANNING III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME110105
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN8299
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015335700
FL
Enumeration date
06/26/2008
Last updated
02/05/2025
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