Mansour, John Anthony
Mansour, John Anthony is an sole proprietor health care provider with primary practice located at 4689 Us Highway 17 Ste 12 , Fleming Island FL 32003-4831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Mansour, John Anthony can be contacted via phone (904) 375-9753.Contact Information
Primary practice address
4689 Us Highway 17 Ste 12
Fleming Island FL 32003-4831
Phone: (904) 375-9753
Fax: (904) 375-8380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | OS14658 | Florida |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 020005101A | Indiana |
Profile Details
| NPI number | 1922308691 |
|---|---|
| LBN Legal business name | Mansour, John Anthony |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2010 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922308691 | NPPES |
| Florida | Other | OS14658 | FL MEDICAL LICENSE |
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