Individual
DR. MANUEL J MANTECON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 285-2949
Mailing address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HSE-6414
FL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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