Dispagna, Mauro Antonio

Dispagna, Mauro Antonio is an individual health care provider with primary practice located at 1330 Budinger Ave Ste 206 , Saint Cloud FL 34769-4123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dispagna, Mauro Antonio can be contacted via phone (407) 891-2951.

Contact Information

Primary practice address
1330 Budinger Ave Ste 206 Saint Cloud FL 34769-4123
Phone: (407) 891-2951
Fax: (407) 891-2952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MT222952 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X ME180818 Florida

Profile Details

NPI number 1528642626
LBN Legal business name Dispagna, Mauro Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2021
Last updated Sep 23rd, 2026 - about last week

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528642626 NPPES
Florida MEDICAID 131798500

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