Healthcare Provider Details

I. General information

NPI: 1922054394
Provider Name (Legal Business Name): KIRA MANUSIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NE MIAMI GARDENS DR STE 203
NORTH MIAMI BEACH FL
33179-4844
US

IV. Provider business mailing address

1400 NE MIAMI GARDENS DR
NORTH MIAMI BEACH FL
33179-4845
US

V. Phone/Fax

Practice location:
  • Phone: 305-940-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME122290
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number225250
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: