MEDICARE: DR. KARINA MANOOGIAN

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	183500000X	Pharmacist	PS60056	FL

General Provider Information

NPI Number	:	1710538384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARINA MANOOGIAN

Provider Business Mailing Address
First Line	:	3523 SW 10TH TER
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-0183
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4890 DAVIS BLVD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34104-5338
Country	:	US
Telephone Number	:	239-732-7318
Fax Number	:

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

Provider Enumeration Date	:	09/25/2019
Last Update Date	:	09/25/2019

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Directions to “ DR. KARINA MANOOGIAN ” Practice Location

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