Individual
DR. RIZWAN MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 SW ORTHOPEDIC CT, LAKE CITY, FL 32024-0672
(386) 755-9215
(386) 755-6469
Mailing address
4500 W NEWBERRY RD, GAINESVILLE, FL 32607-2245
(352) 336-6000
(352) 332-0799
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME0070903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239211
AVMED
—
05
—
250668800
—
FL
Enumeration date
05/15/2006
Last updated
02/19/2015
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