Provider Demographics
NPI:1376547323
Name:MANIAR, PARIMAL BHUPENDRA (MD)
Entity Type:Individual
Prefix:
First Name:PARIMAL
Middle Name:BHUPENDRA
Last Name:MANIAR
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 1:1711 AMAZING WAY STE 206
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3491
Mailing Address - Country:US
Mailing Address - Phone:407-738-4200
Mailing Address - Fax:407-705-2540
Practice Address - Street 1:1711 AMAZING WAY STE 206
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3491
Practice Address - Country:US
Practice Address - Phone:407-738-4200
Practice Address - Fax:407-705-2540
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90140207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272361100Medicaid
FLME90140OtherMEDICAL LICENSE
FL272361100Medicaid
FL44186VMedicare PIN