Provider Demographics
NPI:1376509133
Name:TOJAR, MANUEL M (MD)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:M
Last Name:TOJAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3601 W COMMERCIAL BLVD STE 5
Mailing Address - Street 2:ANESCO NORTH BROWARD LLC
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309
Mailing Address - Country:US
Mailing Address - Phone:954-485-5666
Mailing Address - Fax:954-484-1651
Practice Address - Street 1:3601 W COMMERCIAL BLVD STE 5
Practice Address - Street 2:ANESCO NORTH BROWARD LLC
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309
Practice Address - Country:US
Practice Address - Phone:954-485-5666
Practice Address - Fax:954-484-1651
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2013-09-26
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Provider Licenses
StateLicense IDTaxonomies
FLME46304207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269489100Medicaid
FL04438ZMedicare PIN
FLD20926Medicare UPIN