Provider Demographics
NPI:1366628570
Name:PHYSICIANS MANPOWER INC.
Entity Type:Organization
Organization Name:PHYSICIANS MANPOWER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NASSIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-936-6216
Mailing Address - Street 1:17981 VIA BELLAMARE LN
Mailing Address - Street 2:
Mailing Address - City:MIROMAR LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33913-7603
Mailing Address - Country:US
Mailing Address - Phone:239-851-1518
Mailing Address - Fax:239-204-2050
Practice Address - Street 1:17981 VIA BELLAMARE LN
Practice Address - Street 2:
Practice Address - City:MIROMAR LAKES
Practice Address - State:FL
Practice Address - Zip Code:33913-7603
Practice Address - Country:US
Practice Address - Phone:239-851-1518
Practice Address - Fax:239-204-2050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66463207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty