Provider Demographics
NPI:1710327929
Name:MAURO, FLORENCE JEANNE (DO)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:JEANNE
Last Name:MAURO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:JEANNE
Other - Last Name:MAURO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:333 NORMAL AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:KUTZTOWN
Practice Address - State:PA
Practice Address - Zip Code:19530-1640
Practice Address - Country:US
Practice Address - Phone:610-683-8363
Practice Address - Fax:610-683-3532
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT015102207Q00000X
PAOS017873207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine