Individual
NEIL MANIMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6043 WINTHROP COMMERCE AVE STE 201, RIVERVIEW, FL 33578-4274
(813) 685-0827
(813) 685-0968
Mailing address
6043 WINTHROP COMMERCE AVE STE 201, RIVERVIEW, FL 33578-4274
(813) 685-0827
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME149267
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2016
Last updated
02/08/2022
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