ABDELNASSER ELMANSOURY MD PA, Specialist BROOKSVILLE, FL

Contact Information

ABDELNASSER ELMANSOURY MD, PA

17222 HOSPITAL BLVD STE 238
BROOKSVILLE, FL 34601-8925

Phone: 352-345-4804
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for ABDELNASSER ELMANSOURY MD PA · (Female)

NPI #	`1740728955`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/08/2017
Last updated	02/08/2017 - About 9 years ago
Sole proprietor ¹	Not specified
Identifiers	FL License # ME0064736
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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