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DR. CAMILLA MANCUSO DO
NPI 1336943745
Student in an Organized Health Care Education/Training Program in Hollywood, FL

Active since April 03, 2025PECOS Enrolled
3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 987-2000 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Camilla Mancuso Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAMILLA MANCUSO DO (NPI 1336943745) is an individual student in an organized health care education/training program in Hollywood, Florida and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336943745
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CAMILLA MANCUSOCredential: DO
Location Address3501 JOHNSON STHollywood, FL 33021-5421
Mailing Address2098 Seminole Blvd Apt 5401Largo, FL 33778-1726 · (530) 761-3762
Phone(954) 987-2000
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1336943745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3501 JOHNSON ST, Hollywood, FL 33021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Camilla Mancuso Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESTER GOLDBERG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. TIMOTHY M. BURKE D.O.
Emergency Medicine
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. MOHAMMAD ALI ANSARI LARI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921
DR. STANLEY JARED CHANG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 437-4800
SAMANTHA THEMAS
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 265-5900
DR. CHANCE MILAN YURCO PHARMD, RPH
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
MR. GREGORY GRAVES JR. CAA
Anesthesiologist Assistant
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 939-5000
DR. SHERRY LOU WOODHOUSE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camilla Mancuso's NPI number?

The NPI number for Camilla Mancuso is 1336943745. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Camilla Mancuso located?

Camilla Mancuso practices at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 987-2000.

What is Camilla Mancuso's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Camilla Mancuso enrolled in Medicare?

Yes. Camilla Mancuso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Camilla Mancuso was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.