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Individual

DR. JUSTIN D MANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15255 MAX LEGGETT PKWY STE 5500, JACKSONVILLE, FL 32218-7273
(904) 223-3321
Mailing address
5191 FIRST COAST TECH PKWY, 3RD FLOOR, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD.32030
AL
207R00000X
Internal Medicine Physician
P26496
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
ME128030
FL

Other

Enumeration date
04/11/2011
Last updated
09/28/2022
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