MEDICARE: ABHIJIT MANASWI 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	207X00000X	Orthopaedic Surgery Physician	ME121473	FL

General Provider Information

NPI Number	:	1962610899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABHIJIT MANASWI MD

Provider Business Mailing Address
First Line	:	2231 NORTH BLVD W
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-8990
Country	:	US
Telephone Number	:	863-419-8922
Fax Number	:

Provider Business Practice Location Address
First Line	:	2231 NORTH BLVD W
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-8990
Country	:	US
Telephone Number	:	863-419-8922
Fax Number	:

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	04/15/2019

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