Provider Demographics
NPI:1548915549
Name:MANEUS, ARD A
Entity type:Individual
Prefix:MR
First Name:ARD
Middle Name:A
Last Name:MANEUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20647 NE 7TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3583
Mailing Address - Country:US
Mailing Address - Phone:786-301-7542
Mailing Address - Fax:305-705-3102
Practice Address - Street 1:20647 NE 7TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3583
Practice Address - Country:US
Practice Address - Phone:786-301-7542
Practice Address - Fax:305-705-3102
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker