Provider Demographics
NPI:1427551233
Name:CARRAZANA, MANUEL ABEL JR (MD)
Entity type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ABEL
Last Name:CARRAZANA
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:14765 ENGLERT ALY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7903
Mailing Address - Country:US
Mailing Address - Phone:407-720-8985
Mailing Address - Fax:337-270-2662
Practice Address - Street 1:14765 ENGLERT ALY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7903
Practice Address - Country:US
Practice Address - Phone:407-720-8985
Practice Address - Fax:337-270-2662
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-18
Last Update Date:2024-08-22
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Provider Licenses
StateLicense IDTaxonomies
FLME149063207R00000X, 207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty