Provider Demographics
NPI:1134473325
Name:F. CHRISTOPHER MANLIO, DO, PA
Entity Type:Organization
Organization Name:F. CHRISTOPHER MANLIO, DO, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FERDINAND
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MANLIO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-910-4710
Mailing Address - Street 1:903 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-5029
Mailing Address - Country:US
Mailing Address - Phone:407-910-4710
Mailing Address - Fax:407-201-7983
Practice Address - Street 1:903 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-5029
Practice Address - Country:US
Practice Address - Phone:407-910-4710
Practice Address - Fax:407-201-7983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8379207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty