Individual
ERIC STEPHEN MASCELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8485 SW 40TH ST STE 102, MIAMI, FL 33155-3262
(305) 551-3412
Mailing address
8485 SW 40TH ST STE 102, MIAMI, FL 33155-3262
(305) 551-3412
(305) 551-1945
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO4302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO4302
FLORIDA LICENSE
FL
Enumeration date
07/03/2019
Last updated
08/22/2022
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