Organization
PAUL A MANCUSO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A MANCUSO MD (SURGEON)
(407) 896-1100
Entity
Organization
Contact information
Practice address
615 E PRINCETON ST, STE 510, ORLANDO, FL 32803-1456
(407) 896-1100
(407) 897-3700
Mailing address
615 E PRINCETON ST STE 510, ORLANDO, FL 32803-1424
(407) 896-1100
(407) 897-3700
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME90970
FL
Other
Enumeration date
02/26/2007
Last updated
04/20/2009
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