MEDICARE: MANICK SARAN

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Y00000X	Otolaryngology Physician	OS22546	FL

General Provider Information

NPI Number	:	1407484611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANICK SARAN

Provider Business Mailing Address
First Line	:	1121 NW 14TH ST FL 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 NW 14TH ST FL 3
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2106
Country	:	US
Telephone Number	:	814-864-9994
Fax Number	:

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

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	07/29/2025

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Directions to “ MANICK SARAN ” Practice Location

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