Provider Demographics
NPI:1356648208
Name:MANNS, HEIDE MARIKA (AP)
Entity Type:Individual
Prefix:
First Name:HEIDE
Middle Name:MARIKA
Last Name:MANNS
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89240 OVERSEAS HWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2141
Mailing Address - Country:US
Mailing Address - Phone:305-852-0011
Mailing Address - Fax:
Practice Address - Street 1:89240 OVERSEAS HWY
Practice Address - Street 2:SUITE 2
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2141
Practice Address - Country:US
Practice Address - Phone:305-852-0011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2816171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist