Organization
ABDELNASSER ELMANSOURY MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDELNASSER ELMANSOURY MD (OWNER)
(352) 345-4804
Entity
Organization
Contact information
Practice address
17222 HOSPITAL BLVD STE 238, BROOKSVILLE, FL 34601-8925
(352) 345-4804
Mailing address
17222 HOSPITAL BLVD STE 238, BROOKSVILLE, FL 34601-8925
(352) 345-4804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0064736
FL
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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