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NPI Code Detail

MEDICARE: DR. LAUREE D MANNING M.D.

MEDICARE: DR. LAUREE D MANNING 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
1207W00000XOphthalmology PhysicianME0067707FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00331657OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
146390OTHERFLBCBS OF FLORDIA

General Provider Information

NPI Number : 1508811746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREE D MANNING M.D.
Provider Business Mailing Address
First Line : PO BOX 220704
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33422-0704
Country : US
Telephone Number : 561-684-4773
Fax Number : 561-684-9526
Provider Business Practice Location Address
First Line : 840 US HIGHWAY 1 STE 430
Second Line :
City : NORTH PALM BEACH
State : FL
Zip : 33408-3829
Country : US
Telephone Number : 561-684-4773
Fax Number : 561-684-9526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/20/2021

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Directions to “ DR. LAUREE D MANNING M.D.” Practice Location

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