| Dr Mannys Hair Restoration Center | |
|
1255 Viscaya Pkwy # 1 103 Cape Coral FL 33990-3290 | |
| (239) 573-6111 | |
| (239) 573-9534 |
| Full Name | Dr Mannys Hair Restoration Center |
|---|---|
| Speciality | General Practice |
| Location | 1255 Viscaya Pkwy # 1, Cape Coral, Florida |
| Authorized Official Name and Position | Manny J Hernandez (PHYSICAN/OWNER) |
| Authorized Official Contact | 2395736111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mannys Hair Restoration Center 1255 Viscaya Pkwy # 1 103 Cape Coral FL 33990-3290 Ph: (239) 573-6111 | Dr Mannys Hair Restoration Center 1255 Viscaya Pkwy # 1 103 Cape Coral FL 33990-3290 Ph: (239) 573-6111 |
| NPI Number | 1114116050 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Medicare PECOS PAC ID | 4082649686 |
|---|---|
| Medicare Enrollment ID | O20051003000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114116050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0041260 (Florida) | Primary |
| Provider Name | Manny J Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548348725 PECOS PAC ID: 1254366859 Enrollment ID: I20051004000050 |
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