Individual
RUDOLPH MANNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10,000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-9385
Mailing address
9011 BRIARWOOD DR, SEMINOLE, FL 33772-2810
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000297
NY
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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