Individual
DR. JASON MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S. ANDREWS AVENUE, PHOENIX EMERGENCY MEDICINE OF BROWARD, FT. LAUDERDALE, FL 33316
(954) 355-4400
Mailing address
101 S FORT LAUDERDALE BEACH BLVD, UNIT 705, FT LAUDERDALE, FL 33316-1559
(954) 740-1505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME96393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276227700
—
FL
Enumeration date
10/02/2006
Last updated
05/14/2008
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