Manuel, Jason

Manuel, Jason is an individual health care provider with primary practice located at 13400 Sutton Park Dr S Suite 1103, Jacksonville FL 32224-0236. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Manuel, Jason can be contacted via phone (904) 223-8818.

Contact Information

Primary practice address
13400 Sutton Park Dr S Suite 1103 Jacksonville FL 32224-0236
Phone: (904) 223-8818
Fax: (904) 223-6969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2551 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P02551 Florida

Profile Details

NPI number 1710969217
LBN Legal business name Manuel, Jason
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 23rd, 2013 - 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 1710969217 NPPES
Florida Other 480031776 RR MEDICARE
Florida MEDICAID 390397400 RR MEDICARE
Florida Other 65442 RR MEDICARE

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