Provider Demographics
NPI:1083608749
Name:TURNER, MANUEL E (MD)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:E
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 SW 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-1539
Mailing Address - Country:US
Mailing Address - Phone:352-598-4320
Mailing Address - Fax:352-861-1592
Practice Address - Street 1:1805 SE 16TH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4672
Practice Address - Country:US
Practice Address - Phone:352-629-3311
Practice Address - Fax:352-629-4311
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85430207L00000X
FLME 85430207LP2900X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266901300Medicaid
FLB58782Medicare UPIN
FL78682ZMedicare ID - Type Unspecified