Individual
MICHAEL S. MANCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14290 METROPOLIS AVE STE 1, FORT MYERS, FL 33912-4534
(239) 275-1114
(239) 275-0498
Mailing address
14290 METROPOLIS AVE STE 1, FORT MYERS, FL 33912-4534
(239) 275-1114
(239) 275-0498
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016006040
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4637
FL
Other
Enumeration date
04/11/2022
Last updated
05/21/2025
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