Individual
GEORGE E MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
935 N BENEVA RD, SUITE707, SARASOTA, FL 34232-1397
(941) 366-7475
(941) 366-4920
Mailing address
935 N BENEVA RD, SUITE707, SARASOTA, FL 34232-1397
(941) 366-7475
(941) 366-4920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0072190
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41507
BCBS
FL
Enumeration date
06/12/2006
Last updated
07/08/2007
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