Organization
ABDELNASSER ELMANSOURY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDELNASSER GAMAL ELMANSOURY MD (OWNER/PRESIDENT)
(352) 345-4804
Entity
Organization
Contact information
Practice address
17222 HOSPITAL BLVD, SUITE 238, BROOKSVILLE, FL 34601-8925
(352) 345-4804
(352) 593-4918
Mailing address
17222 HOSPITAL BLVD, SUITE 238, BROOKSVILLE, FL 34601-8925
(352) 345-4804
(352) 593-4918
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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