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NPI 1093073181 · live from the CMS NPI Registry

Robert K Mannel, M.D.

Psychiatry & Neurology, Vascular Neurology in Jacksonville Beach, FL. National Provider Identifier 1093073181, active.

NPI record

NPI1093073181 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Vascular Neurology 2084V0102X
Practice location1680 The Greens Way Ste 200, Jacksonville Beach, FL 32250
Practice phone904-800-7380
Mailing address2 Shircliff Way Ste 300, Jacksonville, FL 32204
EnumeratedApril 26, 2012
Last updatedDecember 11, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology2084N0400XME128134 (FL)
Psychiatry & Neurology, Vascular Neurology primary2084V0102XME128134 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.