Provider Demographics
NPI:1376816595
Name:MANNING, ISAAC STANFORD II (DC)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:STANFORD
Last Name:MANNING
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 555784
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32855-5784
Mailing Address - Country:US
Mailing Address - Phone:407-625-3921
Mailing Address - Fax:
Practice Address - Street 1:806 W LAKE MANN DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-3476
Practice Address - Country:US
Practice Address - Phone:407-299-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-18
Last Update Date:2012-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10486111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation