| George Mansour Md, Pa | |
|
935 N Beneva Rd Suite 707 Sarasota FL 34232-1397 | |
| (941) 366-7475 | |
| (941) 366-4920 |
| Full Name | George Mansour Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 935 N Beneva Rd, Sarasota, Florida |
| Authorized Official Name and Position | George Mansour (PRESIDENT) |
| Authorized Official Contact | 9413667475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Mansour Md, Pa 935 N Beneva Rd Suite 707 Sarasota FL 34232-1397 Ph: (941) 366-7475 | George Mansour Md, Pa 935 N Beneva Rd Suite 707 Sarasota FL 34232-1397 Ph: (941) 366-7475 |
| NPI Number | 1396000923 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Medicare PECOS PAC ID | 2062677321 |
|---|---|
| Medicare Enrollment ID | O20120712000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396000923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0072190 (Florida) | Primary |
| Provider Name | George E Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881636082 PECOS PAC ID: 9234394594 Enrollment ID: I20120712000111 |
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