MR. JASON MANUEL (NPI# 1710969217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710969217 |
| Entity Type | Individual |
| Full Name | MR. JASON MANUEL |
| Credential | D.P.M. |
| Practice Address |
13400 Sutton Park Dr S Suite 1103 Jacksonville FL 32224-0236 |
| Practice Telephone | 9042238818 |
| Practice Fax Number | 9042236969 |
| Mailing Telephone | 9042238818 |
| Mailing Fax Number | 9042236969 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2551 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P02551 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 390397400 | 05 | |
| FL | RR MEDICARE | 480031776 | 01 |
| FL | BLUE CROSS | 65442 | 01 |
| Street Address |
13400 SUTTON PARK DR S SUITE 1103 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-0236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331237 | Randi Most | Clinical Neuropsychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2005-07-30 |
| 1588122188 | Rayna Vaught Godfrey | Psychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 | 2019-03-04 |
| 1457755530 | Healing Hearts Therapy LLC | Counselor | 13400 Sutton Park Dr S, Suite 1001-4/5, Jacksonville, FL 32224-0236 | 2014-10-17 |
| 1093128878 | Haley Dawson | Counselor | 13400 Sutton Park Dr S, Ste 1001, Jacksonville, FL 32224-0236 | 2014-06-09 |
| 1093099970 | Theresa Maria Dinuzzo | Psychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2011-10-10 |
| 1235455239 | Providential Health Care, Inc | In Home Supportive Care | 13400 Sutton Park Dr S, Suite 1101, Jacksonville, FL 32224-0236 | 2010-04-15 |
| 1295965176 | Ian Seth Otto | Speech-Language Pathologist | 13400 Sutton Park Dr S, Suite 1101, Jacksonville, FL 32224-0236 | 2009-07-25 |
| 1427203736 | Liza Cristin Provenzano | Counselor | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2008-12-01 |
| 1699948547 | Sharon A Knapp | Massage Therapist | 13400 Sutton Park Dr S, Suite 1502, Jacksonville, FL 32224-0236 | 2008-04-10 |
| 1770788390 | Susan N Young Inc | Clinical Neuropsychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487146890 | First Coast Medical Network LLC | Podiatrist | 2645 Cody Dr, Jacksonville, FL 32223-5585 | 2018-05-31 |
| 1023461480 | Cynthia Correa-cedeno | Podiatrist | 14011 Beach Blvd Ste 220, Jacksonville, FL 32250-1695 | 2016-07-20 |
| 1083029698 | Norshae Robinson | Podiatrist | Total Foot Care and Wellness Clinic, 8613 Old Kings Rd South, Suite 301, Jacksonville, FL 32217-4845 | 2014-06-23 |
| 1457529976 | Earl Horowitz Dpm Pa | Podiatrist | 2236 Park St, Jacksonville, FL 32204-4316 | 2008-02-19 |
| 1992838296 | Howard G Groshell Jr. | Podiatrist | 2236 Park Street, Jacksonville, FL 32204-4316 | 2007-03-14 |
| 1356400642 | Smita Malhotra Dpm Pa | Podiatrist | 4213 Metron Dr, Jacksonville, FL 32216-1012 | 2006-12-06 |
| 1457432387 | Podiatry Associates of Florida Inc | Podiatrist | 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210 | 2006-10-18 |
| 1154432219 | Earl R Horowitz D P M Pa | Podiatrist | 2550 Park St, Jacksonville, FL 32204-4518 | 2006-08-31 |
| 1942319645 | Jeffrey L Burmeister | Podiatrist | 2762 Dunn Ave, Jacksonville, FL 32218-4659 | 2006-08-29 |
| 1306871827 | Theodore Joseph Piano | Podiatrist | 4142 Hanging Moss Ct, Jacksonville, FL 32257-7658 | 2006-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.