Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 244748 | MA |
N | 111NI0900X | Internist | 244748 | MA |
N | 207R00000X | Internist | RS 2008-0608 | NM |
N | 111NI0900X | Internist | RS 2008-0608 | NM |
Y | 207RH0000X | Hematologist | ME144167 | FL |
N | 207RH0003X | Hematology & Oncology | 244748 | MA |
N | 207RX0202X | Medical Oncology | ME144167 | FL |
NPI | 1265670822 |
---|---|
Provider Name | Dr. Zeina Adli Ahmad Al-Mansour |
First Address | Gainesville, FL 32610-0278 |
Second Address | Gainesville, FL 32610-0002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2009 |
Last Update Date | 19/03/2020 |