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ABDELNASSER ELMANSOURY MD PA NPI 1144592007


NPI Information

NPI: 1144592007
Provider Name: ABDELNASSER ELMANSOURY MD PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
17222 HOSPITAL BLVD
SUITE 238
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 345-4804
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ABDELNASSER ELMANSOURY MD PA is a cardiovascular disease internal medicine in Brooksville, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ABDELNASSER ELMANSOURY MD PA NPI is 1144592007. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17222 HOSPITAL BLVD
SUITE 238
BROOKSVILLE, FL
ZIP 34601-925
Phone: (352) 345-4804
Fax: (352) 593-4918

The provider's authorized official is Abdelnasser Gamal Elmansoury .
The authorized official title is Owner/president and has the following contact phone number (352) 345-4804.

The enumeration date for this NPI number is 2/7/2012 and was last updated on 2/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11639117252MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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