Individual
EDWARD SAMUEL EUSANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-5145
Mailing address
1335 SLIGH BLVD, 5TH FLOOR, MP41, ORLANDO, FL 32806
(321) 841-5145
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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