Individual
DR. SHONITH MANOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8259 BAYBERRY RD, JACKSONVILLE, FL 32256-7432
(904) 737-7246
(904) 737-2700
Mailing address
8259 BAYBERRY RD, JACKSONVILLE, FL 32256
(904) 737-7246
(904) 737-2700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME66980
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME66980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000819761C
—
GA
05
—
259304100
—
FL
Enumeration date
03/27/2006
Last updated
02/23/2011
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