Individual
DINA MARIE WAGENER MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-4000
Mailing address
1917 NE 119TH RD, NORTH MIAMI, FL 33181-3305
(305) 409-6247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA12156
TX
363A00000X
Physician Assistant
PA9108979
FL
363A00000X
Physician Assistant
Primary
PA9120888
FL
Other
Enumeration date
09/27/2015
Last updated
07/12/2026
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