KIMBERLY GRANT MANSELL

PORT CHARLOTTE, FL
NPI1952352239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  A-1350-06)
Enumeration Date2006-05-12
Last Update Date2007-07-08
Business Address
-- KIMBERLY GRANT MANSELL DO
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952-5000
Phone number: 941-625-4155
Mailing Address
-- KIMBERLY GRANT MANSELL DO
PO BOX 510209
PUNTA GORDA, FL 33951-0209
Phone number: 941-347-8317