Basic Information
| Provider Information | |||||||||
| NPI: | 1891780318 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PEARSON MALUSO MD PA | ||||||||
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| OtherOrganizationName: | REGIONAL ORTHOPAEDIC ASSOCIATES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 77 W UNDERWOOD ST | ||||||||
| Address2: | 5TH FL | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078432130 | ||||||||
| FaxNumber: | 4074253984 | ||||||||
| Practice Location | |||||||||
| Address1: | 77 WEST UNDERWOOD ST | ||||||||
| Address2: | 5TH FL | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078432130 | ||||||||
| FaxNumber: | 4074253984 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2005 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | HORN | ||||||||
| AuthorizedOfficialFirstName: | PENNY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4078432130 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.