Individual
KADIR MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2397, JACKSONVILLE, FL 32258
(904) 296-0670
(904) 296-0698
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME92847
FL
207RN0300X
Nephrology Physician
Primary
ME92847
FL
Other
Enumeration date
03/11/2006
Last updated
11/30/2021
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