Abdelnasser Elmansoury MD PA

Organization Active NPI Cardiovascular Disease Physician · Brooksville, FL

NPI 1144592007 · NPPES record last updated Feb 7, 2012

Key facts

NPI
1144592007
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
ABDELNASSER ELMANSOURY MD PA
Practice address
17222 Hospital Blvd
Suite 238
Brooksville, FL 34601-8925
Phone
(352) 345-4804
Fax
(352) 593-4918
NPI assigned
Feb 7, 2012
Organization subpart
No

Authorized official

Name
Abdelnasser Gamal Elmansoury, MD
Title
Owner/President
Phone
(352) 345-4804

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Abdelnasser Elmansoury MD PA (2 organizations share this tax ID)

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5878/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RC0000X Yes

Addresses

Primary practice location

17222 Hospital Blvd
Suite 238
Brooksville, FL 34601-8925

Mailing address

17222 Hospital Blvd
Suite 238
Brooksville, FL 34601-8925
Phone (352) 345-4804

Other providers in Brooksville, FL

All providers in Brooksville, FL · Cardiovascular Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.