Individual
JAMES MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6056 BOYNTON BEACH BLVD. SUITE 215, BOYNTON BEACH, FL 33437
(561) 798-6600
(561) 615-1958
Mailing address
10131 W FOREST HILL BLVD, STE 230, WELLINGTON, FL 33414-6156
(561) 798-6600
(561) 615-1958
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290885900
—
FL
Enumeration date
11/18/2005
Last updated
04/04/2012
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