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Contact Information

MICHAEL MANCANO
14290 METROPOLIS AVENUE
SUITE #1
FORT MYERS, FL33912
 Phone: 239-275-1114
 Fax: 239-275-0498
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MICHAEL MANCANO · (Male)

NPI # 1649912692
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2022
Last updated 05/21/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO4637
  • IL License # 016006040
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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