Provider Demographics
NPI:1629289830
Name:MANCUSO, MELISSA SNYDER (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:SNYDER
Last Name:MANCUSO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0333
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:2 SHIRCLIFF WAY STE 600
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4762
Practice Address - Country:US
Practice Address - Phone:904-821-7556
Practice Address - Fax:855-707-1416
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2023-06-22
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Provider Licenses
StateLicense IDTaxonomies
FLME148026207SG0201X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)