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1093910879
VIVEK M MANIKAL
ST AUGUSTINE, FL
NPI
1093910879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: FL ME 0080064)
Enumeration Date
2007-06-20
Last Update Date
2014-12-02
Business Address
-- VIVEK M MANIKAL MD
1093 A1A BEACH BLVD PMB415
ST AUGUSTINE, FL 32080
Phone number: 904-819-9925
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Mailing Address
-- VIVEK M MANIKAL MD
100 WHETSTONE PL STE 205
ST AUGUSTINE, FL 32086-5775
Phone number: 904-819-9925
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