MEDICARE: DR. DEAN S MANN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME0065507	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25835	OTHER	FL	BLUE CROSS FLORIDA

General Provider Information

NPI Number	:	1316961261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEAN S MANN MD

Provider Business Mailing Address
First Line	:	PO BOX 8296
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-0296
Country	:	US
Telephone Number	:	561-366-8408
Fax Number	:	561-366-8405

Provider Business Practice Location Address
First Line	:	1411 N FLAGLER DR
Second Line	:	SUITE 4300
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3404
Country	:	US
Telephone Number	:	561-366-8408
Fax Number	:	561-366-8405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	09/29/2017

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Directions to “ DR. DEAN S MANN MD” Practice Location

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