Individual
MS. ANN MARIE MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6735 CROSSWINDS DR N, ST PETERSBURG, FL 33710-5471
(727) 548-8500
(727) 501-7328
Mailing address
6735 CROSSWINDS DR N, ST PETERSBURG, FL 33710-5471
(727) 548-8500
(727) 501-7328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327600
—
FL
01
—
3400245
UNITED
FL
01
—
5230941
AETNA
FL
01
—
Y04PQ
FLORIDA BLUE
FL
Enumeration date
03/07/2010
Last updated
09/02/2021
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