Manella, Susan G

Manella, Susan G is an individual health care provider with primary practice located at 500 N Hiatus Rd Ste 201 , Pembroke Pines FL 33026-5213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manella, Susan G can be contacted via phone (954) 381-8989.

Contact Information

Primary practice address
500 N Hiatus Rd Ste 201 Pembroke Pines FL 33026-5213
Phone: (954) 381-8989
Fax: (954) 381-8950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS4667 Florida

Profile Details

NPI number 1730129065
LBN Legal business name Manella, Susan G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730129065 NPPES
Florida MEDICAID 256367300

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