MEDICARE: PARIMAL BHUPENDRA MANIAR 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	207UN0901X	Nuclear Cardiology Physician	ME90140	FL
2	207RC0000X	Cardiovascular Disease Physician	ME90140	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
2	ME90140	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1376547323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARIMAL BHUPENDRA MANIAR M.D.

Provider Business Mailing Address
First Line	:	1711 AMAZING WAY STE 206
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3491
Country	:	US
Telephone Number	:	407-738-4200
Fax Number	:	407-705-2540

Provider Business Practice Location Address
First Line	:	1711 AMAZING WAY STE 206
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-3491
Country	:	US
Telephone Number	:	407-738-4200
Fax Number	:	407-705-2540

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	10/23/2023

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