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Individual

ANTONIO MANALILI BAYANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2901 W. SWANN AVE., TAMPA, FL 33609
(913) 754-0467
(913) 341-5797
Mailing address
PO BOX 862506, ORLANDO, FL 32886
(913) 754-0467
(913) 341-5797

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME27256
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036042200
FL
01
050076795
RAILROAD MEDICARE
FL
01
30503
BCBS
FL
Enumeration date
10/05/2006
Last updated
06/10/2008
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