Dr. Emad S Mansour, MD
Pediatrics, Pediatric Critical Care Medicine in Fort Myers, FL. Individual provider (NPI-1).
NPI number1013967744
StatusActive
Last updated in NPPESMar 29, 2021
Details
- NPI
- 1013967744
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emad S Mansour
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2006
- Certification date
- Mar 29, 2021
- Last updated
- Mar 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | ME69224 | FL | Yes |
| 208000000X | Pediatrics | MD.11348R | LA | |
| 208000000X | Pediatrics | ME0069224 | FL |
Practice location
9981 S Healthpark DrFort Myers, FL 33908-3618
Phone 239-343-5651 · Fax 239-343-5652
Mailing address
Po Box 2147Fort Myers, FL 33902-2147
Phone 239-343-5651 · Fax 239-343-5652
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