NPIMap

Organization Active NPI

Paul a Mancuso MD PA

  • Legal Medicine
  • Orlando, FL
National Provider Identifier
1225164833
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME90970 Issued in FL
Legal business name
PAUL A MANCUSO MD PA
Practice address
615 E Princeton St
Ste 510
Orlando, FL 32803-1456
Phone
(407) 896-1100
Fax
(407) 897-3700
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul A Mancuso, MDNPI 1497718233
Title
Surgeon
Phone
(407) 896-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X ME90970 FL Primary

Addresses

Primary practice location

615 E Princeton St
Ste 510
Orlando, FL 32803-1456

Mailing address

615 E Princeton St Ste 510
Orlando, FL 32803-1424
Phone (407) 896-1100

National Provider Directory

National Provider Directory

Locations

615 E Princeton St
Ste 510
Orlando, FL 32803
Phone (407) 896-1100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1225164833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 510",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031424",
            "telephone_number": "407-896-1100",
            "fax_number": "407-897-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST",
            "address_2": "STE 510",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031456",
            "telephone_number": "407-896-1100",
            "fax_number": "407-897-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A MANCUSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "407-896-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME90970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.