Manatee Medical Management

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MANATEE MEDICAL MANAGEMENT

Doing business as

Wound Care Services

Practice address

4519 George Rd
Suite 145
Tampa, FL 33634-7329

Phone

(888) 331-3531

Fax

(888) 498-3990

NPI assigned

Nov 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dallas Hodd Moorhead III

Title

President

Phone

(888) 331-3531

Specialties & licenses 1

Addresses

Other names 1

• Wound Care Services Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1801198841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "SUITE 145",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329",
            "telephone_number": "888-331-3531",
            "fax_number": "888-498-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "SUITE 145",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329",
            "telephone_number": "888-331-3531",
            "fax_number": "888-498-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "MOORHEAD",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "HODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-331-3531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Vincent Manacci, CRNA
• Helena Manafova
• Jason Christian Manalo
• Ronald Salazar Manalo, MD
• Samira Manapragada, D.O.
• Lianet Mancebo Diaz
• A. R. Setty Manchepalli, MD
• Anya Mancinelli, PA-C
• Richard Mancuso, D.M.D.
• Timothy Joseph Manda, MD

• Durable Medical Equipment & Medical Supplies in Tampa, FL
• Providers in Tampa, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.