PAUL A MANCUSO MD PA
Medical Practice at Princeton St, Orlando, FL

License number
Florida ME90970
Category
Medical Practice
Type
Legal Medicine
Owner
Name: PAUL A MANCUSO MD
Title: SURGEON
Phone: (407) 896-1100
Address
Address
615 E Princeton St STE 510, Orlando, FL 32803
National Provider ID: 1225164833
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Paul A. Mancuso, M.D., PA

Orlando, FL

Status:
Inactive
Registration:
Jun 30, 2004
Addresses:
615 E Princeton St, Orlando, FL 32803
PO Box 677128, Orlando, FL 32867
State ID:
P04000099211
Business type:
Domestic for Profit Corporation
Director:
Paul A. Mancuso Director, inactive

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