Individual
SANJEEV V. MANIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12670 WHITEHALL DR, FORT MYERS, FL 33907-3619
(239) 936-3554
(239) 936-8993
Mailing address
12670 WHITEHALL DR, FORT MYERS, FL 33907-3619
(239) 936-3664
(239) 936-8993
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01053038
IN
2084N0400X
Neurology Physician
Primary
ME132282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021302400
—
FL
05
—
200306020A
—
IN
01
—
90001187
BLUE SHIELD OF IL
IL
01
—
JA561Z
MEDICARE
FL
Enumeration date
03/28/2006
Last updated
03/17/2018
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