Mansoor, Rizwan
Mansoor, Rizwan is an individual health care provider with primary practice located at 146 Sw Orthopedic Ct , Lake City FL 32024-0672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mansoor, Rizwan can be contacted via phone (386) 755-9215.Contact Information
Primary practice address
146 Sw Orthopedic Ct
Lake City FL 32024-0672
Phone: (386) 755-9215
Fax: (386) 755-6469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ME0070903 | Florida |
Profile Details
| NPI number | 1508817370 |
|---|---|
| LBN Legal business name | Mansoor, Rizwan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 19th, 2015 - about 10 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 | 1508817370 | NPPES |
| Other | 239211 | AVMED | |
| MEDICAID | 250668800 | AVMED |
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