Individual
DR. DOUGLAS MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-7900
(850) 431-7990
Mailing address
7859 SKIING WAY, WINTER GARDEN, FL 34787-6208
(407) 506-4818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M522-163-98-150-0
FL
Other
Enumeration date
03/29/2024
Last updated
04/23/2025
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