Provider Demographics
NPI:1164168134
Name:MCMANUS, BENJAMIN (DPM)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:MCMANUS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5741 BEE RIDGE RD STE 490
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-5062
Mailing Address - Country:US
Mailing Address - Phone:941-924-8777
Mailing Address - Fax:941-924-5888
Practice Address - Street 1:5741 BEE RIDGE RD STE 490
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5062
Practice Address - Country:US
Practice Address - Phone:941-924-8777
Practice Address - Fax:941-924-5888
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO4643213E00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program