Male or Other

Michael Maniaci MD

Hospitalist Physician in Jacksonville, FL(View on Map)

Full Name

Michael Maniaci MD

NPI Number

1215910500

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/21/2005

Specialties

(Taxonomies)

Code

208M00000X

Primary Taxonomy

Yes

Licenses

State

Arizona
Florida
Minnesota
Wisconsin

License Number

62509
ME90754
68031
73189

Contact
Information

Purpose

Mailing
Location

Address

4500 SAN PABLO RD S
4500 SAN PABLO RD S

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-1865
32224-1865

Country

US
US

Telephone Number

N/A
(904) 953-2000

Health Information Exchange

Endpoint Type

DIRECT
DIRECT

Endpoint

mmaniaci67252@ehrdirect.mayoclinicmsg.org
mmaniaci67252@ehrdirect.mayoclinicmsg.org

Endpoint Description

Unknown
Unknown

Use

Unknown
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

4500 San Pablo Rd SJacksonville, FL322241865US
13400 E Shea BlvdScottsdale, AZ852595452US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/10/2021

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