Individual
JACK EARL MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0023743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059512800
—
FL
01
—
406143136
RAILROAD MEDICARE
—
01
—
71703
BCBS
FL
01
—
F70917030
CHAMPUS
—
01
—
ME0023743
MEDICAL LICENSE
FL
Enumeration date
05/05/2006
Last updated
10/06/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up