Provider Demographics
NPI:1669444113
Name:MANLIO, FERDINAND CHRISTOPHER (DO)
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:CHRISTOPHER
Last Name:MANLIO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 8379207N00000X
FLOS8379207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBM7185110OtherDEA
FLBM7185110OtherDEA
FLI32376Medicare UPIN
FL29090Medicare PIN