| Robin Mansour MD LLC | |
|
4016 Sawyer Rd Sarasota FL 34233-1272 | |
| (941) 366-7475 | |
| Not Available |
| Full Name | Robin Mansour MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4016 Sawyer Rd, Sarasota, Florida |
| Authorized Official Name and Position | Robin Mansour (OWNER) |
| Authorized Official Contact | 9413667475 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Mansour MD LLC 4016 Sawyer Rd Sarasota FL 34233-1272 Ph: (941) 366-7475 | Robin Mansour MD LLC 4016 Sawyer Rd Sarasota FL 34233-1272 Ph: (941) 366-7475 |
| NPI Number | 1710506522 |
|---|---|
| Provider Enumeration Date | 04/11/2020 |
| Last Update Date | 04/11/2020 |
| Certification Date | 04/11/2020 |
| Medicare PECOS PAC ID | 7618390717 |
|---|---|
| Medicare Enrollment ID | O20200708001664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710506522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | Robin George Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760878433 PECOS PAC ID: 8224367271 Enrollment ID: I20190917001524 |
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