National Provider Identifier Database

ABDELNASSER ELMANSOURY MD PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

ABDELNASSER ELMANSOURY MD, PA
17222 HOSPITAL BLVD STE 238
BROOKSVILLE, FL34601-8925
Phone: 352-345-4804
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ABDELNASSER ELMANSOURY MD, PA

NPI Number 1740728955
Legal business name
LBN
ABDELNASSER ELMANSOURY MD, PA
Authorized official ABDELNASSER ELMANSOURY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/08/2017
Last updated 02/08/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME0064736

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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