MEDICARE: PAUL MALUSO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	ME0042664	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	47588W	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	47588	OTHER	BCBS
3	619949	OTHER	UNITED HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	01208684	OTHER	AMERIGROUP
6	05062	OTHER	WELLCARE
7	4008476	OTHER	AETNA

General Provider Information

NPI Number	:	1730175373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL MALUSO MD

Provider Business Mailing Address
First Line	:	596 OCOEE COMMERCE PKWY
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4219
Country	:	US
Telephone Number	:	407-654-3505
Fax Number	:	407-654-4956

Provider Business Practice Location Address
First Line	:	596 OCOEE COMMERCE PKWY
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4219
Country	:	US
Telephone Number	:	407-654-3505
Fax Number	:	407-654-4956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	01/26/2012

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Directions to “ PAUL MALUSO MD” Practice Location

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