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Manus Praserthdam,m.d.,p.a
Specialist in St Petersburg, Florida
NPI 1376770826

Manus Praserthdam,m.d.,p.a is a Specialist based in St Petersburg, FL. Manus Praserthdam,m.d.,p.a practices in St Petersburg, FL. The NPI Number for Manus Praserthdam,m.d.,p.a is 1376770826 and holds a License No. (Florida).

The current practice location address for Manus Praserthdam,m.d.,p.a is 1201 5Th Ave N Ste 208, St Petersburg, FL and can be reached out via phone at 727-894-1122 and via fax at 727-894-0033.

Location: 1201 5Th Ave N Ste 208, St Petersburg, FL, 33705-1410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376770826
Provider Name
Manus Praserthdam,m.d.,p.a
Credential
Provider Entity Type
Organization
Address
1201 5Th Ave N Ste 208, St Petersburg, FL, 33705-1410
Phone Number
727-894-1122
Fax Number
727-894-0033
Provider Enumeration Date
06/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0666950 01 FL AETNA
62149 05 FL
0184828 01 FL CIGNA
212769 01 FL AMERIGROUP
3106012 01 FL UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
1201 5Th Ave N Ste 208
City
St Petersburg
State
Florida
Zip
33705-1410
Phone Number
727-894-1122
Fax Number
727-894-0033
person
Provider Business Mailing Address Details
Address
1201 5Th Ave N Ste 208
City
St Petersburg
State
Florida
Zip
33705-1410
Phone Number
727-894-1122
Fax Number
727-894-0033
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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