Mervin Punzalan Manuel, M.D.

Pediatrics Physician · Fernandina Beach, FL

Individual Active NPI

NPI number 1215070396

Practice location

1463 Nectarine St
Fernandina Beach, FL 32034-3027
Phone
(904) 491-0177
Fax
(904) 491-3173

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NPI record

NPI
1215070396
Entity type
Individual (Type 1)
Enumeration date
February 15, 2007
Last updated
May 15, 2025
Certified
May 15, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME123580 FL

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone
(904) 491-0177
Fax
(904) 491-3173

About Dr. Manuel

Mervin Punzalan Manuel, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1463 Nectarine St, Fernandina Beach, FL 32034-3027. The NPI number 1215070396 was assigned on February 15, 2007 and the record was last updated on May 15, 2025.

Dr. Manuel lists a license in the registry: #ME123580 (FL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mervin Punzalan Manuel, M.D.?

The NPI number is 1215070396.

What is the phone number of Dr. Manuel?

The phone number listed for the practice location is (904) 491-0177.

Where is Dr. Manuel located?

1463 Nectarine St, Fernandina Beach, FL 32034-3027.

What is the taxonomy code for Dr. Manuel?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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