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PAUL A MANCUSO MD PA NPI 1225164833


NPI Information

NPI: 1225164833
Provider Name: PAUL A MANCUSO MD PA
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
615 E PRINCETON ST
STE 510
ORLANDO, FL
ZIP 32803
Phone: (407) 896-1100
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PAUL A MANCUSO MD PA is a legal medicine in Orlando, FL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. PAUL A MANCUSO MD PA NPI is 1225164833. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

615 E PRINCETON ST
STE 510
ORLANDO, FL
ZIP 32803-456
Phone: (407) 896-1100
Fax: (407) 897-3700

The provider's authorized official is Paul A Mancuso .
The authorized official title is Surgeon and has the following contact phone number (407) 896-1100.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 4/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineME90970FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K6493MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2DE7966 RAILROADMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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