MEDICARE: MICHAEL S MANN

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1861344830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL S MANN

Provider Business Mailing Address
First Line	:	3350 SW 148TH AVE STE 110
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3237
Country	:	US
Telephone Number	:	786-302-0987
Fax Number	:	754-295-5734

Provider Business Practice Location Address
First Line	:	2462 NW 193RD AVE
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-5314
Country	:	US
Telephone Number	:	786-302-0984
Fax Number	:	754-295-5734

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL S MANN
Credential	:
Telephone Number	:	954-592-8970

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “MICHAEL S MANN ” Practice Location

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