Dr. Sourial M. Sourial D.O.
Family Medicine Physician in Jacksonville, FL(View on Map)
Full Name
Dr. Sourial Morris Sourial D.O.
NPI Number
1205148376
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/06/2010
Specialties
(Taxonomies)Code
207Q00000X
208VP0014X
208VP0000X
Primary Taxonomy
Yes
No
No
Licenses
State
Florida
New York
License Number
OS11425
257585
Contact
Information
Purpose
Mailing
Location
Address
425 W COLONIAL DR STE 303
6484 FORT CAROLINE RD
City
Orlando
Jacksonville
State
FL
FL
Postal Code
32804-6863
32277-2042
Country
US
US
Telephone Number
(904) 745-3618
(904) 744-7300
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/16/2024
Provider Address
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