Dr Jason Mansour, MD | |
1600 S. Andrews Avenue, Phoenix Emergency Medicine Of Broward, Ft. Lauderdale, FL 33316 | |
(954) 355-4400 | |
Not Available |
Full Name | Dr Jason Mansour |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1600 S. Andrews Avenue, Ft. Lauderdale, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649364126 | NPI | - | NPPES |
276227700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME96393 (Florida) | Primary |
Entity Name | Phoenix Emergency Medicine Of Broward Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871542969 PECOS PAC ID: 5991793002 Enrollment ID: O20040505001132 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Mansour, MD 101 S Fort Lauderdale Beach Blvd, Unit 705, Ft Lauderdale, FL 33316-1559 Ph: (954) 740-1505 | Dr Jason Mansour, MD 1600 S. Andrews Avenue, Phoenix Emergency Medicine Of Broward, Ft. Lauderdale, FL 33316 Ph: (954) 355-4400 |
Dr. Craig Harrison, M.D., MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Broward General Emergency Department, 1600 S Andrews Ave, Ft. Lauderdale, FL 33316 Phone: 408-647-6334 | |
Patrick Taylor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4725 N Federal Highway, Ft. Lauderdale, FL 33308 Phone: 954-958-4837 |