Organization
AMERISPAN MULTISPECIALTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED S MANN MD (PRESIDENT)
(305) 858-2228
Entity
Organization
Contact information
Practice address
1313 SW 27TH AVENUE, MIAMI, FL 33145
(305) 858-2228
(305) 541-3220
Mailing address
1313 SW 27TH AVENUE, MIAMI, FL 33145
(305) 858-2228
(305) 541-3220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375243700
—
FL
Enumeration date
02/23/2007
Last updated
01/13/2014
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