MEDICARE: DR. MANISH RELAN MD

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	207R00000X	Internal Medicine Physician	ME91096	FL
2	207RR0500X	Rheumatology Physician	ME91096	FL

General Provider Information

NPI Number	:	1578539995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANISH RELAN MD

Provider Business Mailing Address
First Line	:	9838 OLD BAYMEADOWS RD # 344
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-8101
Country	:	US
Telephone Number	:	904-503-6999
Fax Number	:	904-503-6998

Provider Business Practice Location Address
First Line	:	9191 R G SKINNER PKWY UNIT 603
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9661
Country	:	US
Telephone Number	:	904-503-6999
Fax Number	:	904-503-6998

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

Provider Enumeration Date	:	02/25/2006
Last Update Date	:	08/28/2025

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Directions to “ DR. MANISH RELAN MD” Practice Location

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