Bruno Mancini (NPI# 1861448052, PAC ID# 2365535978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1861448052 |
| PAC ID by PECOS | 2365535978 |
| Professional Enrollment ID | I20070912000188 |
| Full Name | Bruno Mancini |
| Organization Legal Name | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Address |
216 N Frederick St Pierson FL 32180-3024 |
| Phone Number | 3867499449 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547249518 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 2160 Howland Blvd, Suite 110, Deltona, FL 32738-3468 | 3865320515 | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| 216 N Frederick St, Pierson, FL 32180-3024 | 3867499449 | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Organization Legal Name | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hichinaca Roberson | Nurse Practitioner | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Pamela Liu Sauls | Family Medicine | Northeast Florida Health Services, Inc | 801 Beville Rd, Suite 101, South Daytona, FL 32119-1861 |
| Julian P Johnson | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Angelia Lynn Fuller | Nurse Practitioner | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Kelsey Hoblick | Physician Assistant | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Shruti Patel | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Robert Brian Rodriguez | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Arletty D Smith | Family Medicine | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Street Address |
216 N FREDERICK ST |
| City | PIERSON |
| State | FL |
| Zip | 32180-3024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hichinaca Roberson | Nurse Practitioner | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Kelsey Hoblick | Physician Assistant | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Arletty D Smith | Family Medicine | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Robert O Kessack Iii | Physician Assistant | Northeast Florida Health Services Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Samay Omary | Family Practice | Northeast Florida Health Services Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| City | PIERSON |
| Zip Code | 32180 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PIERSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bruno Mancini.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.