Individual
PAUL MALUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
596 OCOEE COMMERCE PKWY, OCOEE, FL 34761-4219
(407) 654-3505
(407) 654-4956
Mailing address
596 OCOEE COMMERCE PKWY, OCOEE, FL 34761-4219
(407) 654-3505
(407) 654-4956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0042664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01208684
AMERIGROUP
—
05
—
049333300
—
FL
01
—
05062
WELLCARE
—
01
—
4008476
AETNA
—
01
—
47588
BCBS
—
01
—
47588W
MEDICARE
—
01
—
619949
UNITED HEALTHCARE
—
Enumeration date
09/20/2005
Last updated
01/26/2012
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