KALYAN MANTHA

JACKSONVILLE, FL
NPI1124232822
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  ME122523)
Additional Taxonomies208000000X Pediatrics
(Licence: MI  4301086369)
Enumeration Date2007-05-10
Last Update Date2015-10-19
Business Address
KALYAN MANTHA MD
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4748
Phone number: 904-308-7300
Mailing Address
KALYAN MANTHA MD
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4748
Phone number: 904-308-7300