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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW MANSOUR
NPI 1558050799
Student in an Organized Health Care Education/Training Program in Lakeland, FL

Active since May 03, 2023
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1100 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Mansour NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW MANSOUR (NPI 1558050799) is an individual student in an organized health care education/training program in Lakeland, Florida, licensed in Florida (11898) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1558050799
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW MANSOUR
Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543
Mailing Address19919 WittenburgSan Antonio, TX 78256-2115 · (210) 254-2911
Phone(863) 687-1100
Sole ProprietorYes
Enumeration DateMay 3, 2023
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1558050799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · 11898
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1324 LAKELAND HILLS BLVD, Lakeland, FL 33805
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN ABREU-RAMIREZ MD
Internal Medicine (Pulmonary Disease)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JARED MCLAUGHLIN
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
JEFF RIGBY DO
Student in an Organized Health Care Education/Training Program
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100
ANDREA BEALE A.R.N.P.
Nurse Practitioner
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 284-5020
MR. TAMI LYNN HOWER ARNP
Nurse Practitioner (Family)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1321
DR. ADALBERTO ALFONSO MD
Emergency Medicine
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1359
DR. BISHOY KOLTA M.D.
Psychiatry & Neurology (Psychiatry)
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1275
MICALEIGH NOLL PHARMD
Pharmacist
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805
Polk County (863) 687-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Mansour's NPI number?

The NPI number for Matthew Mansour is 1558050799. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Matthew Mansour located?

Matthew Mansour practices at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 687-1100.

What is Matthew Mansour's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Matthew Mansour was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.