Individual
DR. CAMILLA MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 987-2000
Mailing address
2098 SEMINOLE BLVD APT 5401, LARGO, FL 33778-1726
(530) 761-3762
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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