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NPI Code Detail

MEDICARE: MANUEL ANTONIO PAREDES M.D.

MEDICARE: MANUEL ANTONIO PAREDES 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
1207Q00000XFamily Medicine PhysicianME98438FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
231062OTHERFLBCBS
39385105OTHERAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609935709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANUEL ANTONIO PAREDES M.D.
Provider Business Mailing Address
First Line : 4998 10TH AVE N
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2210
Country : US
Telephone Number : 561-293-2900
Fax Number : 561-408-8860
Provider Business Practice Location Address
First Line : 4998 10TH AVE N
Second Line :
City : GREENACRES
State : FL
Zip : 33463-2210
Country : US
Telephone Number : 561-293-2900
Fax Number : 561-408-8860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 10/20/2020

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4998 10TH AVE N
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1912293200 — JULIE ALLEN M.D.
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1881977940 — MRS. LIGI A MATHAI
Practice Location Address:
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33463-2210
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Practice Fax:
1427329705 — JACQUELINE LUCY BERGER PHARM D
Practice Location Address:
4998 10TH AVE N
GREENACRES, FL
33463-2210
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1700249505 — FARYAL IZHAR FAROOQI M.D.
Practice Location Address:
4998 10TH AVE N
GREENACRES, FL
33463-2210
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Practice Fax:
1093203127 — MS. MELISSA RAYMONDE ELIZEE M.D.
Practice Location Address:
4998 10TH AVE N
GREENACRES, FL
33463-2210
Practice Phone: 561-293-2900
Practice Fax: 561-412-5554

Directions to “ MANUEL ANTONIO PAREDES M.D.” Practice Location

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