| Doctor Name: | TED E MANOS |
| NPI Number: | 1487648937 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME0027734 |
| Business Practice Address: | 249 E Collins St Umatilla, FL - 327848383 |
| Business Phone Number: | 3527715500 |
| Business Fax Number: | |
| Mailing Address: | 16140 Us Highway 441, EUSTIS |
| State: | FL |
| Postal Code: | 327260210 |
| Phone Number: | 3525896424 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2005 |
| NPI Last Update Date: | 01/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/25/2006 |
| NPI Reactivation Date: | 04/03/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME0027734 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |