MEDICARE: ANELE RAMIA MANFREDINI M.D.

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	282N00000X	General Acute Care Hospital
2	207Q00000X	Family Medicine Physician	ME107044	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477710531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANELE RAMIA MANFREDINI M.D.

Provider Business Mailing Address
First Line	:	1000 NE 56TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33334-4149
Country	:	US
Telephone Number	:	954-229-8660
Fax Number	:	954-229-8659

Provider Business Practice Location Address
First Line	:	1000 NE 56TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33334-4149
Country	:	US
Telephone Number	:	954-229-8660
Fax Number	:	954-229-8659

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

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	05/17/2023

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