Individual
DR. MANSOOR AHMED SAJID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2848 CENTER POINTE DR STE A, FORT MYERS, FL 33916-9521
(239) 561-9622
(239) 768-5297
Mailing address
19006 WILDBLUE BLVD, FORT MYERS, FL 33913-8752
(713) 398-0332
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
6779059-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
M8309
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME119814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106007100
—
FL
Enumeration date
03/13/2009
Last updated
05/03/2022
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