Matthew Mansour
Matthew Mansour is a Student in an Organized Health Care Education/Training Program in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
1324 Lakeland Hills BlvdLakeland, FL 33805-4543
Phone: (863) 687-1100
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 11898 (FL) |
|---|
Record details
| NPI number | 1558050799 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2023 |
| Last updated in NPPES | June 22, 2026 |
| Certification date | June 22, 2026 |
| Mailing address | 19919 Wittenburg, San Antonio, TX 78256-2115 |
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