ABDELNASSER ELMANSOURY MD, PA; NPI #1740728955

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

NPI # 1740728955

LBN Legal business name ABDELNASSER ELMANSOURY MD, PA

Authorized official ABDELNASSER ELMANSOURY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/08/2017

Last updated 02/08/2017 - About 9 years ago

Identifiers

License #

ME0064736

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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