Organization
INFECTIOUS DISEASES ASSOCIATES OF NORTH FLORIDA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONALI MANIKAL M.D. (MANAGER)
(904) 819-9925
Entity
Organization
Contact information
Practice address
100 WHETSTONE PL, SUITE 205, ST AUGUSTINE, FL 32086-5774
(904) 819-9925
(904) 819-9926
Mailing address
1093 A1A BEACH BLVD, PMB 415, ST AUGUSTINE, FL 32080-6733
(904) 819-9925
(904) 819-9926
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME80064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259185500
—
FL
Enumeration date
10/03/2006
Last updated
11/03/2011
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