Organization
NEUROLOGICAL SPECIALTIES NEUROSURGERY PA
Active
Other names
Maniscalco and Newman MDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
JACK EARL MANISCALCO MD (PRESIDENT)
(813) 876-6321
Entity
Organization
Contact information
Practice address
2816 W VIRGINIA AVE, NEUROLOGICAL SPECIALTIES NEUROSURGERY PA, TAMPA, FL 33607-6330
(813) 876-6321
(813) 870-0350
Mailing address
2816 W VIRGINIA AVE, NEUROLOGICAL SPECIALTIES NEUROSURGERY PA, TAMPA, FL 33607-6330
(813) 876-6321
(813) 870-0350
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98598
BCBS OF FLORIDA
FL
Enumeration date
05/03/2006
Last updated
10/06/2014
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