Individual
ERIC STEPHEN MASCELLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
715 W BOYNTON BEACH BLVD STE F, BOYNTON BEACH, FL 33426-3625
(561) 734-3100
(561) 374-7925
Mailing address
715 W BOYNTON BEACH BLVD STE F, BOYNTON BEACH, FL 33426-3625
(561) 734-3100
(561) 734-7925
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
05/15/2026
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