Manikal, Vivek M

Manikal, Vivek M is an sole proprietor health care provider with primary practice located at 1093 A1A Beach Blvd Pmb415 , St Augustine FL 32080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Manikal, Vivek M can be contacted via phone (904) 819-9925.

Contact Information

Primary practice address
1093 A1A Beach Blvd Pmb415 St Augustine FL 32080
Phone: (904) 819-9925
Fax: (904) 819-9926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME 0080064 Florida

Profile Details

NPI number 1093910879
LBN Legal business name Manikal, Vivek M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2007
Last updated Dec 2nd, 2014 - about 11 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 1093910879 NPPES
Florida MEDICAID 259185500
Florida Other 35271

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